Mitral Valve Replacement Complicated by Interstitial Pneumonia

• Okutani Ryu

  Intensive Care Unit, Hyogo College of Medicine

• Iwaya Masaaki

  Intensive Care Unit, Hyogo College of Medicine

抄録

A 59-year-old male underwent mitral valve annuloplasty for mitral valve prolapse. The postoperative course was uneventful. However, three months after operation, he developed general malaise and dyspnea, and was readmitted to hospital. Echocardiography revealed mitral valve regurgitation(IV°), and chest x-ray showed an infiltrative shadow in the right lung. A diagnosis of interstitial pneumonia was confirmed based on an increase in serum KL-6 to 1,400 U/ml, and lung biopsy. Respiratory functions improved after about one month of mechanical ventilation and steroid pulse therapy, but 3 l/min of oxygen by nasal cannulae was still required. Chest x-ray revealed that the pneumonia had stabilized, although the serum KL-6 value remained high. Then, mitral valve replacement was performed. Extubation was done two days after surgery, and his respiration was stable thereafter. The serum KL-6 level decreased from 1,170 U/ml on the day of surgery to 541 U/ml 10 days after surgery.

収録刊行物

• 循環制御

  循環制御 26 (3), 251-254, 2005

  日本循環制御医学会

キーワード

• interstitial pneumonia
• serum KL-6
• congestive hear failure
• mitral valve replacement

詳細情報

• CRID: 1390282679081826432
• NII論文ID: 10019342570
• NII書誌ID: AN00357563
• DOI: 10.11312/ccm.26.251
• ISSN: 03891844
• Web Site: https://search.jamas.or.jp/link/ui/2006179389
• 本文言語コード: en
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可