Yamashita Shigeyuki, Nagao Kanetsugu, Doi Toshio, Yokoyama Shigeki, Yamashita Akio, Fukahara Kazuaki, Yoshimura Naoki
First Department of Surgery University of Toyama Toyama Japan.
Clin Case Rep. 2022 Aug 26;10(8):e6290. doi: 10.1002/ccr3.6290. eCollection 2022 Aug.
Cerebral cavernous malformations (CCMs) are blood vessel malformations, often untreated if asymptomatic. However, upon cardiac surgery with cardiopulmonary bypass, cerebral edema/hemorrhage may occur. We successful performed mitral valve plasty for a case of severe mitral regurgitation with multiple CCMs. Preoperative head magnetic resonance imaging and strict perioperative management are important.
脑海绵状血管畸形(CCMs)是血管畸形,通常在无症状时不进行治疗。然而,在进行体外循环心脏手术时,可能会发生脑水肿/出血。我们成功地为一例患有多个CCMs的严重二尖瓣反流患者实施了二尖瓣成形术。术前头部磁共振成像和严格的围手术期管理很重要。