[A case of myonephropathic-metabolic syndrome after urgent aortic valve re-replacement due to prosthetic valve thrombosis].
Acute cardiac failure due to prosthetic valve thrombosis is a rare, but lethal complication after cardiac valve replacement. A 40-year-old female admitted to our hospital, because of cardiac failure after aortic valve replacement with a #21 Björk-Shiley valve in 1975. After admission, echocardiography showed thrombotic obstruction of the prosthetic valve, and we underwent urgent aortic valve re-replacement. Postoperative period, she was complicated with myonephropathic-metabolic syndrome (MNMS). But, we performed intermittent veno-venous hemofiltration (IVVH) in early period, and successfully could save her life and her lower limb.
Department of Cardiology, Komatsushima Red Cross Hospital.
Y
Y
Fukumura
Y
Y
Kataoka
Y
Y
Nakai
M
M
Bando
T
T
Aihara
Y
Y
Hiasa
S
S
Morimoto
T
T
Wada
K
K
Hamai
D000328:Adult; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001705:Bioprosthesis / Q000009:adverse effects*; D004630:Emergencies; D005260:Female; D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006440:Hemofiltration; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D008659:Metabolic Diseases / Q000628:therapy*; D009135:Muscular Diseases / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*; D012086:Reoperation; D013577:Syndrome; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*