title: Strategies for a schizophrenic patient who required aortic valve replacement.
abstract: An aortic valve was replaced in a schizophrenic patient with violent behaviour. The usual protocol was altered and strategies to prevent accidents before and after surgery were devised. Minimally invasive surgery, administering sedation during the critical recovery period, and therapeutic use of communication as a psychological intervention were effective strategies. The patient recovered well and was discharged on day 14 after surgery.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. shimada@cmt.kpu-m.ac.jp
authors.forename: Rika
authors.initials: R
authors.lastname: Shimada
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Shimada
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
authors.forename: Nobuo
authors.initials: N
authors.lastname: Kitamura
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D002637:Chest Pain; D006350:Heart Valve Prosthesis / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000150:complications*; D013575:Syncope; D016896:Treatment Outcome