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Intraoperative hemodynamic deterioration caused by pre-existing mitral regurgitation in a patient with type A dissection: a word of caution

中井 信吾 内田 徹郎 黒田 吉則 山下 淳 大塲 栄一 小林 龍宏 貞弘 光章 山形大学

2021.08.20

概要

Acute type A aortic dissection is a life-threating disease, and preoperative congestive heart failure caused by newly developed aortic regurgitation is known as a risk factor for increased hospital mortality. Herein, we report didactic case of hemodynamic deterioration during surgical treatment of acute type A aortic dissection, which was induced by pre-existed but undiagnosed severe mitral regurgitation. Not only surgeons but also all members of surgical team should bear in mind the possibility of pre-existed mitral valvular disease, which possibly induce congestive heart failure in patients undergoing surgery of acute type A aortic dissection even in emergent setting.

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参考文献

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