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Mitral valve plasty in a patient with multiple cerebral cavernous malformations: A case report

Shigeyuki Yamashita1, Kanetsugu Nagao1, Toshio Doi1

  • 1First Department of Surgery University of Toyama Toyama Japan.

Clinical Case Reports
|September 2, 2022
PubMed

Insights

Cerebral cavernous malformations (CCMs) require careful management during cardiac surgery. This case highlights successful mitral valve plasty in a patient with multiple CCMs, emphasizing preoperative imaging and perioperative care.

Area of Science:

  • Neurology
  • Cardiology
  • Vascular Surgery

Background:

  • Cerebral cavernous malformations (CCMs) are vascular anomalies that can pose risks during major surgery.
  • Cardiac surgery, particularly with cardiopulmonary bypass, may increase the risk of complications like cerebral edema or hemorrhage in patients with CCMs.

Observation:

  • A patient with multiple CCMs presented with severe mitral regurgitation requiring surgical intervention.
  • Mitral valve plasty was successfully performed in this high-risk patient.

Findings:

  • The successful surgical outcome demonstrates the feasibility of managing CCMs alongside cardiac procedures.
  • No intraoperative or immediate postoperative complications related to CCMs were observed.

Implications:

  • Preoperative head magnetic resonance imaging is crucial for identifying CCMs before cardiac surgery.
  • Strict perioperative management protocols are essential to mitigate risks associated with CCMs during and after cardiopulmonary bypass.
  • This case supports the consideration of surgical intervention for cardiac conditions in patients with asymptomatic CCMs, provided meticulous planning and execution.

Keywords:
cardiac surgerycardiopulmonary bypassmultiple cerebral cavernous malformationsperioperative neurological complications

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