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KMID : 0368119920220061050
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Korean Circulation Journal
1992 Volume.22 No. 6 p.1050 ~ p.1054
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Percutaneous Balloon Mitral Valvuloplasty under General Anesthesia in Patient with Mitral Stenosis and Schizophrenia
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윤장한
박금수/최경훈/윤경봉/황성오
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Abstract
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Since the introduction of percutaneous mitral valvotomy (PMV) in 1984. PMV was an effective alternative to surgical commissurotomy in selected patients with severe mitral stenosis. Also PMV was an excellent palliative strategy in such patients
who
high
risk for operative managemtn or longterm anticoagulation was not feasible.
We performed PMV in a patient with very tight mitral stenosis and severe pulmonary hypertension under the general anesthesia because the patient was anticipated to be uncooperatifve due to mental problem. who was diagnosed as schizophrenia 16
years
ago.
Robinol was used for premedication and i. v fentanyl was used for maintenance of anesthesia. Inoue balloon was introduced into the LV and gradual ballooning was performed with favorable results. total anesthesia time and interval from internal
jugular
vein puncture to the completion of valvuloplasty were 1 hour 45 min and 40 minutes respectively. Hemodynamic variables were improved immediately after intervention and mitral valve area was increased from 0.5㎠ to 1.3㎠.
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KEYWORD
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