Aortic Valve Replacement after Balloon Valvuloplasty for Aortic Valve Stenosis in a Dialysis Patient with Cardiogenic Shock;Report of a Case

Masanori Takamatsu, Takashi Hirotani, Satoshi Ohtsubo, Sumikatsu Saito, Shigeyuki Takeuchi, Tasuku Hasegawa, Ayaka Endo, Yu Yamasaki, Kentaro Hayashida

研究成果: Article

抜粋

A 67-year-old man on chronic hemodialysis was admitted with worsening congestive heart failure due to critical aortic stenosis. Echocardiography showed severe aortic stenosis with a valve area of 0.67 cm2 and an ejection fraction of 0.31. Cardiac catheterization revealed severe pulmonary hypertension with pulmonary artery pressures of 62/32 mmHg. In the middle of cardiac catheterization, the systolic pressure declined to 60 mmHg due to cardiogenic shock. Dopamine hydrochloride and dobutamine hydrochloride infusions were necessary to maintain a systolic pressure greater than 80 mmHg. Balloon aortic valvuloplasty was urgently performed. The patient's symptoms rapidly resolved except for angina on exertion. One month later, elective aortic valve replacement was performed. The postoperative course was uneventful and the he was discharged on the 60th postoperative day. A follow-up echocardiogram 6 months postoperatively revealed normal prosthetic valve function and an ejection fraction of 0.6.

元の言語English
ページ(範囲)460-464
ページ数5
ジャーナルKyobu geka. The Japanese journal of thoracic surgery
68
発行部数6
出版物ステータスPublished - 2015 6 1
外部発表Yes

    フィンガープリント

ASJC Scopus subject areas

  • Medicine(all)

これを引用

Takamatsu, M., Hirotani, T., Ohtsubo, S., Saito, S., Takeuchi, S., Hasegawa, T., Endo, A., Yamasaki, Y., & Hayashida, K. (2015). Aortic Valve Replacement after Balloon Valvuloplasty for Aortic Valve Stenosis in a Dialysis Patient with Cardiogenic Shock;Report of a Case. Kyobu geka. The Japanese journal of thoracic surgery, 68(6), 460-464.