Document Detail


Acute early failure of a bioprosthesis after mitral valve replacement with completely preserved annuloventricular continuity.
MedLine Citation:
PMID:  21547630     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report a case of acute early bioprosthetic failure after mitral valve replacement with completely preserved annuloventricular continuity. A 77-year-old man with left ventricular dysfunction underwent double valve replacement with Carpentier-Edwards pericardial bioprostheses. Routine postoperative echocardiography revealed 1.4 cm(2) of estimated mitral valve area, and computed tomography revealed a large thrombus in the left atrium. Transesophageal echocardiography showed a restricted opening of the bioprosthetic leaflets. After a month of strict anticoagulation therapy, cusp mobility improved, with a calculated mitral valve area of 3.5 cm(2); and the left atrial thrombus had almost disappeared 2 months after initiation of therapeutic anticoagulation. Surgeons should be watchful for bioprosthetic thrombosis in patients with left ventricular dysfunction who undergo mitral valve replacement with a preserved mitral subvalvular apparatus.
Authors:
Toshinori Totsugawa; Hidenori Yoshitaka; Masahiko Kuinose; Yoshimasa Tsushima; Atsuhisa Ishida; Genta Chikazawa
Publication Detail:
Type:  Journal Article     Date:  2011-05-06
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  59     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  347-9     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, 2-1-10 Marunouchi, Kita-ku, Okayama, 700-0823, Japan, toshinoritotsugawa@mac.com.
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