Pannus Formation Leads to Valve Malfunction in the Tricuspid Position 19 Years after Triple Valve Replacement

2016 ◽  
Vol 19 (3) ◽  
pp. 116
Author(s):  
Ebraham Alskaf ◽  
Hannah McConkey ◽  
Nabila Laskar ◽  
Attila Kardos

The Medtronic ATS Open Pivot mechanical valve has been successfully used in heart valve surgery for more than two decades. We present the case of a patient who, 19 years following a tricuspid valve replacement with an ATS prosthesis as part of a triple valve operation following infective endocarditis, developed severe tricuspid regurgitation due to pannus formation.

2019 ◽  
Vol 73 (9) ◽  
pp. 2963
Author(s):  
Justin Johannesen ◽  
Amit Alam ◽  
Aziz Ghaly ◽  
Michael Huang ◽  
Kanika Mody ◽  
...  

Surgery Today ◽  
2008 ◽  
Vol 38 (11) ◽  
pp. 1040-1043
Author(s):  
Nobuchika Ozaki ◽  
Nobuhiko Mukohara ◽  
Masato Yoshida ◽  
Tsutomu Shida

JAMA ◽  
1968 ◽  
Vol 204 (1) ◽  
pp. 67-69 ◽  
Author(s):  
E. B. Stinson

2018 ◽  
Vol 11 (1) ◽  
pp. 89
Author(s):  
Redoy Ranjan ◽  
Mushfiqur Rahman ◽  
Heemel Saha ◽  
Dipannita Adhikary ◽  
Sanjoy Kumar Saha ◽  
...  

<p class="Abstract">This study is based on the findings of a single surgeon’s practice of mitral valve replacement of 167 patients from April 2005 to June 2017 who developed symptomatic mitral restenosis after closed or open mitral commisurotomy. Both clinical and color doppler echocardiographic data of peri-operative and six months follow-up period were evaluated and compared to assess the early outcome of the redo mitral valve surgery. With male-female ratio of 1: 2.2 and after a duration of 6 to 22 years symptom free interval between the redo procedures, the selected patients with mitral valve restenosis undergone valve replacement with either mechanical valve in 62% cases and also tissue valve in 38% cases. Particular emphasis was given to separate the adhered pericardium from the heart completely to ameliorate base to apex and global contraction of the heart. Besides favorable post-operative clinical outcome, the echocardiographic findings were also encouraging as there was statistically significant increase in the mitral valve area and ejection fraction with significant decrease in the left atrial diameter, pressure gradient across the mitral valve and pulmonary artery systolic pressure. Therefore, in case of inevitable mitral restenosis after closed or open commisurotomy, mitral valve replacement is a promising treatment modality.</p>


2019 ◽  
Vol 7 ◽  
pp. 2050313X1882345
Author(s):  
Miha Antonic ◽  
Anze Djordjevic ◽  
Tamara Mohorko ◽  
Rene Petrovic ◽  
Robert Lipovec ◽  
...  

Left ventricular pseudoaneurysm is a partial cardiac rupture, contained by the surrounding pericardium that maintains communication with the left ventricular lumen. Whereas most cases of left ventricular pseudoaneurysms are related to myocardial infarction (loss of myocardial integrity), only a handful are associated with valve surgery. We present a female patient, who was admitted for elective mitral valve replacement. After the implantation of the mechanical valve, we encountered a rupture of the atrioventricular groove. After 3 months, a left ventricular pseudoaneurysm was found and the patient was reoperated. The valve was explanted and the inspection of the annulus and previously implanted pericardial patch revealed a loosened stitch on the inferior (ventricular) side. The defect was reinforced with additional stitches and the valve was reimplanted. In conclusion, we report an unusual case with two serious complications after mitral valve replacement – atrioventricular groove rupture and left ventricular pseudoaneurysm.


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