Document Detail


Reoperative minimally invasive mitral valve replacement for bovine pericardial valve thrombosis secondary to idiopathic hypereosinophilic syndrome.
MedLine Citation:
PMID:  21664795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bioprosthetic mitral valves rarely obstruct. We present an older woman who presented with rapidly progressive dyspnea 4 years after bovine mitral replacement. Investigations demonstrated severe mitral stenosis with large, obstructive masses within the previous mitral prosthesis and an elevated eosinophil count. She underwent urgent reoperative mitral replacement and tricuspid valve repair through a 4-cm right minithoracotomy under hypothermic, fibrillatory arrest. Pathologic analysis revealed eosinophilic infiltrates in the obstructive masses and normal endomyocardial biopsies. She made an uneventful recovery and was discharged on steroids to suppress the eosinophilia. Repeat echocardiography demonstrated a well-functioning porcine valve without leaflet restriction or obstruction.
Authors:
Michael W A Chu; Corey Adams; Kibar Yared; Warren Ball; Sanjay Dhingra; Andrea Rosenbloom
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2011-06-12
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  27     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:    2011 Nov-Dec
Date Detail:
Created Date:  2011-11-28     Completed Date:  2012-01-19     Revised Date:  2012-02-28    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  868.e11-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Cardiac Surgery, Department of Surgery, University of Western Ontario, University Hospital, London, Ontario, Canada. michael.chu@lhsc.on.ca
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MeSH Terms
Descriptor/Qualifier:
Aged
Bioprosthesis*
Diagnosis, Differential
Echocardiography
Female
Follow-Up Studies
Heart Valve Prosthesis*
Humans
Hypereosinophilic Syndrome / complications*
Mitral Valve Insufficiency / diagnosis,  etiology,  surgery*
Reoperation / methods*
Surgical Procedures, Minimally Invasive / methods*

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


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