Management of Acute Pituitary Apoplexy After Mechanical Aortic Valve Replacement.
Publication/Presentation Date
6-11-2025
Abstract
Pituitary apoplexy is a clinical syndrome caused by hemorrhage or infarction of the pituitary gland and has been described as a rare complication of cardiac surgery. Management of this complication after mechanical valve replacement is complex, given the need for postoperative anticoagulation and potential neurosurgical resection. This paper presents a case of pituitary apoplexy identified after mechanical root and ascending hemiarch replacement and describes our clinical decision making around anticoagulation selection and optimal surgical timing. The patient underwent successful resection on postoperative day 9 and did not have any major bleeding or valvular thromboembolic complications. Multidisciplinary collaboration was critical to his favorable outcome.
Volume
30
Issue
14
First Page
103675
Last Page
103675
ISSN
2666-0849
Published In/Presented At
Brown, D. E., Lui, C., Fonkeu, Y., Milas, B. L., & Bavaria, J. E. (2025). Management of Acute Pituitary Apoplexy After Mechanical Aortic Valve Replacement. JACC. Case reports, 30(14), 103675. https://doi.org/10.1016/j.jaccas.2025.103675
Disciplines
Medicine and Health Sciences
PubMedID
40514113
Department(s)
Department of Surgery
Document Type
Article