Right-to-Left Shunt During Transseptal Mitral Valve-in-Valve Replacement: A Case Report.

A A Pract

From the Department of Anesthesiology, Ochsner Health Systems, New Orleans, Louisiana.

Published: April 2019

The following case report details an 88-year-old woman with severe mitral stenosis and moderate mitral regurgitation who presented with worsening dyspnea on exertion. The patient had undergone 4-vessel coronary artery bypass graft and mitral valve replacement 14 years before and was deemed high risk for redo sternotomy. A transseptal mitral valve-in-valve replacement was performed which resulted in intraoperative hypoxia and hypotension after atrial septal defect creation for valve deployment. A right-to-left shunt had developed due to the patient's underlying pulmonary hypertension. Successful atrial septal defect closure resolved the hypoxia and hypotension. The patient had a brief and uncomplicated postoperative course.

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000890DOI Listing

Publication Analysis

Top Keywords

right-to-left shunt
8
transseptal mitral
8
mitral valve-in-valve
8
valve-in-valve replacement
8
case report
8
hypoxia hypotension
8
atrial septal
8
septal defect
8
mitral
5
shunt transseptal
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!