• A&A practice · Mar 2018

    Emergency Valve Replacement Under Minimal Cardiopulmonary Bypass for a Patient With Infective Endocarditis and Large Brain Hematoma: A Case Report.

    • Gabor Kiss and Eric Braunberger.
    • From the Departments of Anesthesia and Surgical Intensive Care for Cardiovascular and Thoracic Surgery and Cardiovascular and Thoracic Surgery, University Hospital Felix Guyon, Saint Denis, Reunion Island, France.
    • A A Pract. 2018 Mar 15; 10 (6): 144-147.

    AbstractA 19-year-old man with mitral valve endocarditis and prolapse, intracerebral and intracerebellar hematoma, and a mycotic cerebral aneurysm underwent emergency mitral valve replacement during minimal cardiopulmonary bypass (total priming volume, 800 mL; autologous retropriming, activated clotting time <300 seconds) 1 day after undergoing endovascular coil embolization of the aneurysm. Postoperatively, there were no extensions of the intracerebral and intracerebellar hematoma. After intensive rehabilitation therapy, the patient recovered fully except for residual bilateral claudication because of preoperative bilateral embolism to both superficial femoral arteries.

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