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Anesthetic management of a patient with obstructive prosthetic aortic valve dysfunction: a case report
Journal article   Peer reviewed

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

Bo Ra Lee, Jeong-Rim Lee and Min Soo Kim
Korean journal of anesthesiology, Vol.66(2), pp.160-163
02/01/2014
DOI: 10.4097/kjae.2014.66.2.160
PMCID: PMC3948445
PMID: 24624276

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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.
Case Report

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