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Vasoplegic syndrome after cardiopulmonary bypass for paravalvular leak of mitral bioprosthesis
Yu-Xuan Jiang1, Po-Shun Hsu2, Chien-Sung Tsai2, Chih-Yuan Lin2
1 Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan
2 Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
Correspondence Address:
Chih-Yuan Lin,
No. 325, Sec. 2, Cheng-Kung Road, Neihu 114, Taipei
Taiwan
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jmedsci.jmedsci_304_21
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Vasoplegic syndrome (VS) is characterized by low systemic vascular resistance paired with relatively preserved cardiac output that may result in increased morbidity and mortality rate after open-heart surgery utilizing cardiopulmonary bypass. We report a case of a 61-year-old male who underwent redo open-heart surgery due to a paravalvular leak of the previous implanted mitral bioprosthesis and severe tricuspid regurgitation. The patient experienced the VS in the intensive care unit after the operation. He was resuscitated by vasopressors and recovered uneventfully.
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