Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report
Korean Journal of Anesthesiology 2014³â 66±Ç 2È£ p.160 ~ p.163
À̺¸¶ó(Lee Bo-Ra) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
ÀÌÁ¤¸²(Lee Jeong-Rim) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
±è¹Î¼ö(Kim Min-Soo) - Yonsei University College of Medicine Department of Anesthesiology and Pain Medicine
Abstract
We present a 55-year-old female patient who underwent burr-hole drainage due to chronic subdural hematoma, with obstructive prosthetic aortic valve dysfunction. Anesthetic management of a patient with severe obstructive prosthetic aortic valve dysfunction can be challenging. Similar considerations should be given to patients with aortic stenosis with an additional emphasis on thrombotic complication due to discontinuation of anticoagulation, which may further jeopardize the valve dysfunction. This case emphasizes the importance of a comprehensive understanding of the etiology and hemodynamic consequences of obstructive prosthetic valve dysfunction and the adequacy of anticoagulation for patients undergoing noncardiac surgery even after a successful valve replacement.
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Aortic valve stenosis, Echocardiography, Heart valve prosthesis, Thrombosis
KMID :
0356920140660020160
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