Dehiscence of mitral valve annuloplasty: a three-dimensional diagnosis.
نویسندگان
چکیده
A 74-year old patient underwent aortic valve replacement and mitral annuloplasty (Edwards Lifesciences Physioring, 34 mm). Five weeks post-surgery, he was readmitted because of heart failure due to a severe residual mitral regurgitation. Three-dimensional (3D) echocardiography clearly demonstrated the posterolateral area of dehiscence. He underwent successful surgical refixation (Fig. 1 and Supplementary Video 1). Supplementary material (Video 1) is available at EJCTS online. Video 1: 3D Moving images of the mitral valve from the left atrium demonstrating a large dehiscence of the annuloplasty on the posterolateral side, the stitches are clearly visible.
منابع مشابه
Real-time 3-dimensional transesophageal echocardiography in the evaluation of post-operative mitral annuloplasty ring and prosthetic valve dehiscence.
OBJECTIVES This study sought to assess the use of real-time (RT) 3-dimensional (3D) transthoracic and transesophageal echocardiography (TEE) in the evaluation of post-operative mitral valve dehiscence. BACKGROUND Mitral valve replacement or repair may be complicated by post-operative dehiscence of the valve or annuloplasty ring resulting in clinically significant mitral regurgitation or hemol...
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A 48-year-old man with a medical history of hypertension was admitted with acute dyspnea and pyrexia. Echocardiographic examination revealed a dilated and volumeoverloaded left ventricle and severe mitral regurgitation due to ruptured chordae tendinae resulting in posterior leaflet prolapse. Blood cultures were negative. The patient was treated with antibiotics considering that he had a chest i...
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BACKGROUND Infective endocarditis (IE) on an annuloplasty ring dehiscence is uncommon after mitral valve repair. CASE PRESENTATION A 53-year-old man underwent mitral annuloplasty with a 24-mm ring for posterior mitral valve prolapse. He underwent repeat valve repair for recurrent mitral valve regurgitation 4 years later. He was re-hospitalised complaining of vomiting, nausea, general fatigue ...
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1999;88:1205–12. 7. Troianos CA, Konstadt S. Evaluation of mitral regurgitation. Semin Cardiothorac Vasc Anesth 2006;10:67–71. 8. Cook RC, Nifong LW, Lashley GG, Duncan RA, Campbell JA, Law YB et al. Echocardiographic measurements alone do not provide accurate non-invasive selection of annuloplasty band size for robotic mitral valve repair. J Heart Valve Dis 2006;15:524–7. 9. Ender J, Koncar-Ze...
متن کاملMitral Valve Annuloplasty Ring Dehiscence Diagnosed Intraoperative With Real-Time 3D Transesophageal Echocardiogram
Mitral annular calcification (MAC) is often a result of the accumulation of lipids around the annulus, which can lead to degeneration and calcification of the valve. Multiple risk factors have been associated with the progression of MAC and life-threatening complications such as the early mitral valve annuloplasty dehiscence. Our case describes the different risk factors for annuloplasty dehisc...
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ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 45 2 شماره
صفحات -
تاریخ انتشار 2014