Mitral Valve Replacement and Hypotension
The patient is a 62-year-old man who underwent mitral valve replacement. Six hours after returning to the intensive care unit, he develops hypotension with a systolic blood pressure (BP) of 70 mm Hg and a heart rate of 120 beats per minute. Normal saline is given (500 mL), the systolic BP on norepinephrine is 75 mm Hg, and the central venous pressure is 20 mm Hg.
 Figure 47-1. |
 Figure 47-2. |
 Figure 47-3. |
QUESTION 1. This transthoracic echocardiogram (Fig. 47-1 and Video 47-1) shows (select all that apply):
A. Bioprosthetic mitral valve
B. An underfilled right ventricle (RV)
C. A clot within the right atrium
D. A clot compressing the right atrium
View Answer
ANSWER 1: A, B, D. The transthoracic echocardiogram shows bioprosthetic mitral valve, an underfilled RV, and a clot compressing the right atrium.
QUESTION 2. You recommend:
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
