Document Detail


Valvular heart disease in four patients with Maroteaux-Lamy syndrome.
MedLine Citation:
PMID:  1728449     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Maroteaux-Lamy syndrome is a lysosomal storage disease of mucopolysaccharide metabolism (MPS type VI) that may involve the mitral and aortic valves. Affected patients have other skeletal and oropharyngeal malformations that complicate anesthetic and surgical management. METHODS AND RESULTS: The present report describes the clinical, echocardiographic, and pathological findings in four patients with Maroteaux-Lamy syndrome. Two of three siblings underwent successful double-valve replacement for aortic and mitral valve stenoses. The third sibling, whose aortic and mitral valves were thick and fibrotic, died from septicemia after hip surgery. A fourth, unrelated patient also had successful double-valve replacement. CONCLUSIONS: Our experience emphasizes the potential difficulties in preoperative assessment and surgical treatment as well as the unique problems related to airway management in patients with this syndrome.
Authors:
C T Tan; H V Schaff; F A Miller; W D Edwards; P S Karnes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation     Volume:  85     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-02-06     Completed Date:  1992-02-06     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  188-95     Citation Subset:  AIM; IM    
Affiliation:
Section of Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Valve Stenosis / etiology*,  pathology,  ultrasonography
Echocardiography
Echocardiography, Doppler
Female
Heart Valve Prosthesis
Humans
Male
Mitral Valve Stenosis / etiology*,  pathology,  ultrasonography
Mucopolysaccharidosis VI / complications*,  pathology,  ultrasonography

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


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