Pituitary apoplexy following mitral valvuloplasty.
Pituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of a pituitary adenoma secondary to hemorrhage or infarction. Pituitary apoplexy after cardiac surgery is a very rare perioperative complication. Factors associated with open heart surgery that may lead to pituitary apoplexy include hemodynamic instability during cardiopulmonary bypass and systemic heparinization. We report a case of pituitary apoplexy after mitral valvuloplasty with cardiopulmonary bypass. After early pituitary tumor resection and hormonal replacement therapy, the patient made a full recovery.
Department of Neurosurgery, School of Medicine, Pusan National University, Yangsan, Korea.
Young Ha
YH
Kim
Department of Neurosurgery, School of Medicine, Pusan National University, Yangsan, Korea.
Sang Weon
SW
Lee
Department of Neurosurgery, School of Medicine, Pusan National University, Yangsan, Korea.
Dong Wuk
DW
Son
Department of Neurosurgery, School of Medicine, Pusan National University, Yangsan, Korea.
Seung Heon
SH
Cha
Cardiac surgery; Mitral regurgitation; Pituitary apoplexy; Postoperative complications