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KMID : 1001920150570040289
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Journal of Korean Neurosurgical Society
2015 Volume.57 No. 4 p.289 ~ p.291
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Pituitary Apoplexy Following Mitral Valvuloplasty
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Kim Young-Ha
Lee Sang-Weon
Son Dong-Wuk
Cha Seung-Heon
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Abstract
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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.
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KEYWORD
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Pituitary apoplexy, Mitral regurgitation, Cardiac surgery, Postoperative complications
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