Document Detail


Percutaneous closure of a periprosthetic leakage after mitral valve reoperation due to recurrent endocarditis.
MedLine Citation:
PMID:  19301353     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Paravalvular leakage following the atrioventricular valve replacement, though mostly harmless with insignificant morbidity, can result in heart failure and significant hemolysis that requires treatment. Reoperation is still the treatment of choice, but there is a high risk of recurrence, especially in patients with a history of endocarditis and/or those who have already undergone reoperation for paravalvular leakage. Recently, percutaneous closure of perivalvular leaks with occluders or coils have become an alternative to surgery. However, up to now, the collective of patients who benefit from this approach still has to be defined. Here, we present a case of a highly symptomatic 64-year-old male with severe hemolysis caused by paravalvular leakages after reoperation of a mechanical mitral valve replacement due to recurrent endocarditis.
Authors:
Matthias Kuehl; Juergen Schreieck; Christof Burgstahler
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  73     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-04-22     Completed Date:  2009-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  838-41     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine III, Cardiology, University of Tuebingen, Tuebingen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Anti-Bacterial Agents / therapeutic use
Device Removal
Dyspnea / etiology,  therapy
Echocardiography, Doppler, Color
Endocarditis / complications,  surgery*
Heart Catheterization* / instrumentation
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation* / adverse effects,  instrumentation
Hemolysis*
Humans
Male
Middle Aged
Mitral Valve Insufficiency / etiology,  surgery*
Prosthesis Failure*
Radiography, Interventional
Recurrence
Reoperation
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2009 May 1;73(6):842-3   [PMID:  19367652 ]

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


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