Emergency aortic valve replacement complicated by unmanaged pheochromocytoma

Tamaki Rihito; Yamasaki Manabu; Nishi Hiroyuki; Yoshino Kunihiko; Abe Kohei; Misumi Hiroyasu

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Emergency aortic valve replacement complicated by unmanaged pheochromocytoma

机译：应急主动脉瓣替代不受非托管嗜铬细胞瘤复杂

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A 53-year-old male undergoing emergency aortic valve replacement for infective endocarditis developed a hypertensive crisis early during the operation. Suspecting a pheochromocytoma, intravenous phentolamine was immediately administered, after which the procedure was completed as scheduled. Although quite rare, a pheochromocytoma can be encountered during emergency open heart surgery; thus, early recognition of abnormal blood pressure change and appropriate management are important. Here, we present details of blood pressure control mainly by use of phentolamine, in this case, to demonstrate effective management of a hypertensive crisis during emergency cardiac surgery because of a pheochromocytoma.

机译：一名53岁男性因感染性心内膜炎接受紧急主动脉瓣置换术，术中早期出现高血压危象。怀疑是嗜铬细胞瘤，立即静脉注射酚妥拉明，然后按计划完成手术。虽然非常罕见，但在紧急心脏直视手术中可能会遇到嗜铬细胞瘤；因此，早期识别异常血压变化和适当的管理是很重要的。在本例中，我们主要通过使用酚妥拉明来控制血压，以证明在因嗜铬细胞瘤而进行的紧急心脏手术中有效地处理高血压危象。

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来源
《Journal of cardiac surgery.》 |2021年第9期|共4页
作者
Tamaki Rihito; Yamasaki Manabu; Nishi Hiroyuki; Yoshino Kunihiko; Abe Kohei; Misumi Hiroyasu;
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作者单位

St Lukes Int Hosp Dept Cardiovasc Surg Tokyo Japan;

St Lukes Int Hosp Dept Cardiovasc Surg Tokyo Japan;

Osaka Gen Med Ctr Dept Cardiovasc Surg Osaka Japan;

St Lukes Int Hosp Dept Cardiovasc Surg Tokyo Japan;

St Lukes Int Hosp Dept Cardiovasc Surg Tokyo Japan;

St Lukes Int Hosp Dept Cardiovasc Surg Tokyo Japan;

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原文格式 PDF
正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
aortic valve replacement; hypertensive crisis; pheochromocytoma; valve repair; replacement;

机译：主动脉瓣置换;高血压危机;嗜肺细胞瘤;阀门维修;更换;

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1. Characteristics and outcomes following transcatheter aortic valve replacement in China:a report from China aortic valve transcatheter replacement registry (CARRY) [J] . Yi-Ming Li, Yu-Heng Jia, Yi Zhang, 中华医学杂志（英文版） . 2021,第022期
2. Transcatheter aortic valve implantation versus surgical aortic valve replacement for severe aortic stenosis: a meta analysis [J] . WU Yi-cheng, ZHANG Jian-feng, SHEN Wei-feng, 中华医学杂志（英文版） . 2013,第006期
3. Change in quality of life after transcatheter aortic valve implantation and aortic valve replacement surgery in Australian patients aged ≥ 75 years:the effects of EuroSCORE and patient operability [J] . Phillip J.Tully, Prakash Roshan, Greg D Rice, 老年心脏病学杂志（英文版） . 2015,第001期
4. Emergency use of cardiopulmonary bypass in complicated transcatheter aortic valve replacement: importance of a heart team approach (vol 148, pg 1413, 2014) [J] . Roselli Eric E., Idrees Jay J., Mick Stephanie, The Journal of Thoracic and Cardiovascular Surgery . 2016,第1期

机译：在复杂的经导管主动脉瓣置换术中紧急使用体外循环：心脏团队方法的重要性（第148卷，第1413页，2014年）
5. Emergency use of cardiopulmonary bypass in complicated transcatheter aortic valve replacement: Importance of a heart team approach [J] . Eric E. Roselli, Jahanzaib Idrees, Stephanie Mick, The journal of thoracic and cardiovascular surgery . 2014,第4期

机译：在复杂的经导管主动脉瓣置换中紧急使用体外循环：心脏团队方法的重要性
6. Emergency use of cardiopulmonary bypass in complicated transcatheter aortic valve replacement: Importance of a heart team approach [J] . RoselliE.E., IdreesJ., MickS., The Journal of Thoracic and Cardiovascular Surgery . 2014,第4期

机译：在复杂的经导管主动脉瓣置换中紧急使用体外循环：心脏团队方法的重要性
7. Classification of Aortic Stenosis Before and After Transcatheter Aortic Valve Replacement Using Cardio-mechanical Modalities* [C] . Chenxi Yang, Banish Ojha, Nicole D. Aranoff, . 2020

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8. Part I: Diffusion-Induced Flows and Particulate Aggregation. Part II: Experiments and Modeling of Replacement Aortic Valves. Part III: Enhanced Diffusion in Wall-Driven Shear Flows [D] . Hunt, Robert. 2021

机译：第一部分：扩散诱导的流动和颗粒聚集。第二部分：替代主动脉瓣的实验和建模。第III部分：壁驱动剪切流量的增强扩散
9. Successful redo aortic valve replacement using Perceval valve in a patient with prosthetic valve endocarditis complicated by acute cerebral infarction [O] . Takasumi Goto, Hiroyuki Nishi, Mutsunori Kitahara, 2021

机译：成功的重做主动脉瓣在患者中使用假肢内膜炎的患者使用的感知瓣膜复杂急性脑梗死复杂
10. A COMPLICATED CASE OF AORTIC AND TRICUSPID VALVE ENDOCARDITIS IN A PREGNANT WOMAN; REQUIRING EMERGENCY CAESAREAN SECTION AND VALVE REPLACEMENT [O] . Khan Asaad A., Kearney Peter 2014

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11. Congenital Aortic Stenosis Secondary to Dysplasia of Congenital Bicuspid Aortic Valves without Commissural Fusion. [R] . Cheitlin, M. D., Fenoglio, J. J., McAllister, H. A., 1977

机译：先天性主动脉瓣狭窄继发于先天性双尖瓣主动脉瓣发育不良而没有连合融合。

Emergency aortic valve replacement complicated by unmanaged pheochromocytoma

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