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Lee BR, Lee JR, Kim MS. Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report. Korean J Anesthesiol. 2014;66(2):160-3doi: 10.4097/kjae.2014.66.2.160.
Lee, B. R., Lee, J. R., & Kim, M. S. (2014). Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report. Korean journal of anesthesiology, 66(2), 160-3. https://doi.org/10.4097/kjae.2014.66.2.160
Lee, Bo Ra, et al. "Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report." Korean journal of anesthesiology vol. 66,2 (2014): 160-3. doi: https://doi.org/10.4097/kjae.2014.66.2.160
Lee BR, Lee JR, Kim MS. Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report. Korean J Anesthesiol. 2014 Feb;66(2):160-3. doi: 10.4097/kjae.2014.66.2.160. Epub 2014 Feb 28. PMID: 24624276; PMCID: PMC3948445.
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Korean J Anesthesiol. 2014 Feb;66(2):160-3. doi: 10.4097/kjae.2014.66.2.160. Epub 2014 Feb 28.

Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report.

Korean journal of anesthesiology

Bo Ra Lee, Jeong-Rim Lee, Min Soo Kim

Affiliations

  1. Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea.

PMID: 24624276 PMCID: PMC3948445 DOI: 10.4097/kjae.2014.66.2.160

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.

Keywords: Aortic valve stenosis; Echocardiography; Heart valve prosthesis; Thrombosis

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