| Treatment |
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| • | Efforts
to establish stable hemodynamics off CPB |
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| were
unsuccessful despite volume administration and |
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| alpha
agonists. |
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| • | CPB
was reinstituted for revision of the MV repair. |
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| The
decision was made that further attempts to |
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| revise
the repair were futile and the MV was replaced |
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| with
a mechanical bileaflet prosthetic valve shown |
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| below
by TEE after CPB. |
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