Document Detail


Obstruction of left ventricular outflow tract after mechanical mitral valve replacement.
MedLine Citation:
PMID:  18442589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We successfully operated on a patient with a rare complication of left ventricular outflow tract obstruction after mitral valve replacement. In a 57-year-old woman with previous mitral valve replacement, transthoracic echocardiography showed left ventricular outflow tract obstruction as a result of anterior displacement of the mitral prosthesis and local thickening of the interventricular septum. Cardiac surgery verified this rare lesion. During the operation, the anterior half of the prosthesis ring was cut away from hyperplastic tissue and sutured to the natural mitral annulus. Subaortic hyperplastic tissue was excised to enlarge the left ventricular outflow tract. The patient had an uneventful postoperative recovery, and left ventricular outflow tract obstruction disappeared on postoperative transthoracic echocardiography.
Authors:
Qingyu Wu; Lufeng Zhang; Rui Zhu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  85     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-04-29     Completed Date:  2008-05-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1789-91     Citation Subset:  AIM; IM    
Affiliation:
Heart Center, First Hospital of Tsinghua University, Beijing, China. wuqingyu@mail.tsinghua.edu.cn
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MeSH Terms
Descriptor/Qualifier:
Echocardiography, Transesophageal
Endomyocardial Fibrosis / surgery,  ultrasonography
Female
Heart Septum / pathology,  surgery,  ultrasonography
Heart Valve Prosthesis Implantation*
Humans
Hyperplasia
Middle Aged
Mitral Valve / surgery*,  ultrasonography
Postoperative Complications / surgery*,  ultrasonography
Prosthesis Failure*
Reoperation / methods
Rheumatic Heart Disease / surgery*,  ultrasonography
Ventricular Outflow Obstruction / surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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