Mitral reoperation via right thoracotomy in a patient with pulmonary hypertension.
A 62-year-old woman with pulmonary hypertension underwent mitral valve re-replacement through right thoracotomy. Severe adhesion occurred to the right lung. During pleural dissection the lung collapsed under single-lung ventilation, rapidly elevated pulmonary vascular resistance caused hemodynamic instability. When pulmonary hypertension is preoperatively present, this approach under single-lung ventilation is not recommended.
Terada
Y
Y
Department of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan.
Jikuya
T
T
Mitsui
T
T
D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000150:complications*; D008171:Lung Diseases / Q000209:etiology*; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D010995:Pleural Diseases / Q000209:etiology*; D012086:Reoperation; D013908:Thoracotomy / Q000009:adverse effects* / Q000379:methods; D000267:Tissue Adhesions / Q000209:etiology