Mitral insufficiency associated with primary antiphospholipid syndrome and chronic renal failure
| Autor: | Yasuyuki Sasaki, Yasuyuki Kato, Hiroshi Kumano, Keima Nagamachi, Kojiro Kodera, Fumitaka Isobe |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment law.invention Valve replacement Peritoneal Dialysis Continuous Ambulatory immune system diseases law Antiphospholipid syndrome Internal medicine Mitral valve medicine Cardiopulmonary bypass Humans cardiovascular diseases business.industry Continuous ambulatory peritoneal dialysis valvular heart disease Hemodynamics Mitral Valve Insufficiency Middle Aged medicine.disease Antiphospholipid Syndrome Thrombocytopenia Surgery Cardiac surgery medicine.anatomical_structure Cardiology Kidney Failure Chronic Mitral Valve Female Hemodialysis Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi. 49(3) |
| ISSN: | 1344-4964 |
| Popis: | We report a case of 52-year-old woman with primary antiphospholipid syndrome who developed mitral insufficiency and chronic renal failure. Continuous ambulatory peritoneal dialysis was started preoperatively due to thrombocytopenia that was aggravated by hemodialysis. Mitral annuloplasty was performed since the mitral valve was not severely damaged. Her postoperative hemodynamics were stable, and anticoagulant therapy was controlled easily. She recovered from severe thrombocytopenia while on continuous ambulatory peritoneal dialysis. Valvular heart disease is a well known feature of primary antiphospholipid syndrome, and there have been several reports about valve replacement in patients who had antiphospholipid syndrome with or without systemic lupus erythematosus. However, valve repair has been reported in only a few such patients. We believe that valve repair is better than valve replacement in patients with antiphospholipid syndrome because of its hypercoagulable tendency. In addition, it seems that continuous ambulatory peritoneal dialysis is a suitable method for the perioperative management of patients with antiphospholipid syndrome who suffer from chronic renal failure as well as thrombocytopenia, and require cardiac surgery under cardiopulmonary bypass. |
| Databáze: | OpenAIRE |
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