Erdil N.Çetin L.Nisanoglu V.Şener E.Demirkiliç U.2024-08-042024-08-0420020218-4923https://doi.org/10.1177/021849230201000125https://hdl.handle.net/11616/90538Valve obstruction is a lifethreatening complication of mechanical valve prostheses. Emergency operation is mandatory for patients who subsequently develop cardiogenic shock and severe pulmonary edema. In this severely compromised hemodynamic condition, cardiac arrest develops in most of the patients before surgery and just after general anesthesia induction. In one such case, we performed femorofemoral cardiopulmonary bypass with local anesthesia before general anesthesia induction and successfully replaced the thrombosed prosthetic valve, thus avoiding a catastrophic outcome.eninfo:eu-repo/semantics/closedAccessanesthetic agentetomidateinotropic agentmidazolam maleatemorphinepancuronium bromideprilocaineadultarticlecardiogenic shockcardiopulmonary bypasscase reportdisease severityemergency surgeryfemalefemorofemoral bypassgeneral anesthesiaheart arrestheart hemodynamicsheart valve prosthesishumanlocal anesthesialung edemamitral valve prosthesismitral valve regurgitationoutcomes researchperioperative periodthrombosisAdultAnesthesia, GeneralCardiopulmonary BypassFemaleHeart Valve DiseasesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansMitral Valve InsufficiencyThrombosisArticle10183841207998410.1177/0218492302010001252-s2.0-85047695353Q3