Multiple paravalvular leak 17 years after a second mitral valve replacement
نویسندگان
چکیده
Paravalvular leak (PVL) after prosthetic valve implantation is a significant complication and it usually occurs early in the postoperative period. We report a case of multiple PVL 17 years after the second mitral valve replacement without evidence of infection. The valve sutures were neither cut nor loosened. None of the sewing cuff of the mitral valve was covered with fibrous tissue. The sewing cuff was floated over the native annulus and large and multiple leakage was developed. The valve was easily removed and replaced with a new mechanical prosthesis.
منابع مشابه
A direct suture repair for a paravalvular leak 23 years after the second mitral valve replacements: A case report.
A 59-year-old male was referred for surgery resulting from a paravalvular leak at the mitral position. The patient underwent his first mitral valve replacement with a Bjork-Shiley valve 33 years before this situation arose. He underwent his second mitral valve replacement with a St. Jude Medical mechanical prosthesis for valve thrombosis 10 years later. Serial echocardiography had always shown ...
متن کاملRepeated mitral valve replacement in a patient with extensive annular calcification
BACKGROUND Mitral valve replacement in the presence of severe annular calcification is a technical challenge. CASE REPORT A 47-year-old lady who had undergone mitral and aortic valve replacement for rheumatic disease 27 years before presented with dyspnea. At reoperation, extensive mitral annular calcification was hindering the disc motion of the Starr-Edwards mitral prosthesis. The old prost...
متن کاملAssessment of Mitral Paravalvular Leakage After Mitral Valve Replacement Using Cardiac Computed Tomography
Paravalvular leakage (PVL) is uncommon but potentially serious complication after valve replacement, which occurs 7% to 17% after mitral valve replacement (MVR) and 2% to 10% after aortic valve replacement. Although most PVLs are asymptomatic and have a benign clinical course, an estimated 1% to 5% of patients with PVLs show serious clinical consequences, with especially more undesirable outcom...
متن کاملSurgical vs. catheter-based paravalvular mitral valve leak closure (trans apical approach). Early results. Single center experience.
Background/Introduction Following surgical mitral valve replacement paravalvular leaks may occur in up to 17% of patients. A significant fraction of these patients present with a symptoms of heart failure and/or anaemia. Conventional surgical closure is associated with increased morbidity and mortality. Alternative transcatheter closure has been developed and being introduced into the clinical ...
متن کاملTranscatheter Closures for Fistula Tract and Paravalvular Leak after Mitral Valve Replacement and Tricuspid Annuloplasty
Paravalvular leaks (PVLs) often occur after surgical valve replacement. Surgical reoperation has been the gold standard of therapy for PVLs, but it carries a higher operative risk and an increased incidence of re-leaks compared to the initial surgery. In high surgical risk patients with appropriate geometries, transcatheter closure of PVLs could be an alternative to redo-surgery. Here, we repor...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 8 شماره
صفحات -
تاریخ انتشار 2013