J Korean Neurosurg Soc.  2015 Apr;57(4):289-291. 10.3340/jkns.2015.57.4.289.

Pituitary Apoplexy Following Mitral Valvuloplasty

• Kim YH
• Lee SW
• Son DW
• Cha SH

• KMID: 1956428
• DOI: http://doi.org/10.3340/jkns.2015.57.4.289

Abstract

Pituitary apoplexy is a rare but potentially life-threatening clinical syndrome caused by the sudden enlargement of a pituitary adenoma secondary to hemorrhage or infarction. Pituitary apoplexy after cardiac surgery is a very rare perioperative complication. Factors associated with open heart surgery that may lead to pituitary apoplexy include hemodynamic instability during cardiopulmonary bypass and systemic heparinization. We report a case of pituitary apoplexy after mitral valvuloplasty with cardiopulmonary bypass. After early pituitary tumor resection and hormonal replacement therapy, the patient made a full recovery.

Keyword

Pituitary apoplexy; Mitral regurgitation; Cardiac surgery; Postoperative complications

MeSH Terms

Cardiopulmonary Bypass
Hemodynamics
Hemorrhage
Heparin
Humans
Infarction
Mitral Valve Insufficiency
Pituitary Apoplexy*
Pituitary Neoplasms
Postoperative Complications
Thoracic Surgery
Heparin