Document Detail


Triple valve repair for rheumatic heart disease.
MedLine Citation:
PMID:  15985139     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The onset of the clinical expression of rheumatic heart disease (RHD) is variable. Exercise or other states that necessitate increased cardiac output often precipitate symptoms. Mitral stenosis (MS) is present in 25% of patients with RHD, and 40% of patients have concomitant MS and mitral regurgitation. About two third of patients with MS have concurrent aortic insufficiency. Pulmonary and tricuspid insufficiency may occur from rheumatic involvement of these valves, or secondary to dilatation of valve annuli from pulmonary hypertension secondary to mitral and/or aortic valve disease. Pregnancy is associated with many hemodynamic changes including expanded intravascular volume, tachycardia, increased intracardiac dimensions, and valvular regurgitation. We report a case of a young female who developed flash pulmonary edema during parturition and was found to have abnormal rheumatic involvement of her aortic, mitral, and tricuspid valves. Successful triple valve repair was performed in a single operation. A review of rheumatic valvular abnormalities, and literature supporting multivalvular repair for rheumatic heart disease is provided.
Authors:
John P Liuzzo; Yong T Shin; Richard Lucariello; Marc Klapholz; Samuel J Lang; Robert Braff; Hui Guan; John T Coppola; John A Ambrose
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  20     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-06-29     Completed Date:  2005-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  358-63     Citation Subset:  IM    
Affiliation:
Comprehensive Cardiovascular Center of Saint Vincent's Hospital-Manhattan, NY 10011, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Valve Insufficiency / etiology,  surgery*
Balloon Dilatation
Cardiopulmonary Bypass
Female
Heart Valve Prosthesis
Humans
Mitral Valve / pathology,  surgery*
Mitral Valve Insufficiency / etiology,  surgery*
Mitral Valve Stenosis / etiology,  surgery*
Pregnancy
Rheumatic Heart Disease / complications,  surgery*

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


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