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Pituitary Apoplexy Following Mitral Valvuloplasty
Authors:Young Ha Kim  Sang Weon Lee  Dong Wuk Son  Seung Heon Cha
Institution:Department of Neurosurgery, School of Medicine, Pusan National University, Yangsan, Korea.
Abstract: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.
Keywords:Pituitary apoplexy  Mitral regurgitation  Cardiac surgery  Postoperative complications
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