Case report: New treatment with Tolvaptan for heart failure after cardiac surgery

2014 ◽  
Vol 17 (4) ◽  
pp. 198
Author(s):  
Akira Sezai ◽  
Mitsuru Iida ◽  
Isamu Yoshitake ◽  
Shunji Osaka ◽  
Hiroaki Hata ◽  
...  

The vasopressin V<sub>2</sub> receptor antagonist (Tolvaptan) is a new diuretic that selectively promotes the excretion of water. It has been reported to be effective for patients in cardiology, but there have been no reports of its use in the perioperative period after cardiac surgery. We report the usefulness of Tolvaptan for postoperative fluid management in a patient with severe mitral regurgitation due to ischemic cardiomyopathy. Marked improvement was achieved after administration of Tolvaptan for heart failure in the postoperative period.

2020 ◽  
Vol 04 (05) ◽  
Author(s):  
Laura Piggott ◽  
Ashling Ní Chinnéide ◽  
Laura Worthington ◽  
Paul Shiels

2020 ◽  
Vol 319 (1) ◽  
pp. H100-H108
Author(s):  
Marco Guazzi ◽  
Greta Generati ◽  
Barry Borlaug ◽  
Eleonora Alfonzetti ◽  
Tadafumi Sugimoto ◽  
...  

This is an analysis involving 134 heart failure patients with reduced ejection fraction versus 80 controls investigated during functional evaluation with gas exchange and hemodynamic, addressing the severe mitral regurgitation phenotype and testing the hypothesis that the backward cardiac output redistribution to the lung during exercise impairs delivery and overexpresses peripheral extraction. This information is new and has important implications in the management of heart failure.


Author(s):  
Abu Ghosh Z ◽  
◽  
Beeri R ◽  
Falah B ◽  
Pertz A ◽  
...  

Oncology patients with Heart Failure (HF) and severe Mitral Regurgitation (MR) are often considered to have a prohibitive risk for surgical mitral valve repair/replacement. We describe a patient with active multiple myeloma and significant HF and MR who was treated with MitraClip, which improved symptoms and allowed delivery of optimal oncological treatment.


2015 ◽  
Vol 78 (4) ◽  
Author(s):  
Rodolfo Citro ◽  
Angelo Silverio ◽  
Roberto Ascoli ◽  
Antonio Longobardi ◽  
Eduardo Bossone ◽  
...  

We report the case of a 71-year-old man hospitalized for acute heart failure. Transthoracic and transesophageal echocardiography showed mitral valve aneurysm (MVA) rupture and severe mitral regurgitation. No vegetations but significant aortic regurgitation were also observed. MVA perforation is a rare life-threatening condition that typically occurs as a complication of endocarditis but may also be associated with other diseases, in particular connective tissue disorders. In the present case, the absence of such etiology suggests a possible role for of aortic regurgitation in MVA rupture secondary to a “jet lesion” mechanism.


CJC Open ◽  
2020 ◽  
Vol 2 (3) ◽  
pp. 179-185
Author(s):  
Sachin S. Goel ◽  
Vincent Zuck ◽  
Jeffrey Goldstein ◽  
Nilesh J. Goswami

2011 ◽  
Vol 26 (3) ◽  
pp. 278-280
Author(s):  
Noriaki Watanabe ◽  
Mamoru Toyofuku ◽  
Tomoyasu Sato ◽  
Nobuo Shiode ◽  
Yoshiko Masaoka ◽  
...  

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