Key result
MVR succeeds in a dialysis-dependent patient despite a follow-up anticoagulation complication.
Why the study?
Patients with end-stage renal disease undergoing valve surgery have higher morbidity and mortality, with poor outcomes especially noted in this population.
Case Report (n=1)
Successful mitral valve replacement in a dialysis-dependent patient highlights the importance of myocardial protection, infection prevention, nutritional support, and coagulation monitoring.
Does not support practice change; leaves open optimal anticoagulation strategies in dialysis patients after valve replacement.
Patients with end-stage renal disease have a higher risk of morbidity and mortality than those without end-stage renal disease in cardiovascular surgery. Poor outcomes are especially found in patients who undergo valve surgery. We report successful mitral valve replacement (MVR) in a dialysis-dependent patient. The patient recovered well at postoperation and had the complication of anticoagulation at follow-up. Based on this successful case, we believe that myocardial protection, prevention of infection, nutritional support, and close monitoring of blood coagulation function are important in dialysis-dependent patients undergoing valve replacement.
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Mo et al. (2016) conducted a case report in End-stage renal disease requiring mitral valve replacement (n=1). Mitral valve replacement was evaluated on Surgical success and postoperative recovery. Mitral valve replacement was successfully performed in a dialysis-dependent patient, who recovered well postoperatively but experienced an anticoagulation complication during follow-up.
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