Marked mitral prosthesis rocking motion preceding atrioventricular groove rupture.

Autor: Sousa AIC; Department of Cardiology, Centro Hospitalar São João, Porto, Portugal.; Faculty of Medicine of Porto University, Porto, Portugal., Gonçalves AMGS; Department of Cardiology, Centro Hospitalar São João, Porto, Portugal.; Faculty of Medicine of Porto University, Porto, Portugal., Madureira AJBS; Department of Radiology, Centro Hospitalar São João, Porto, Portugal., Almeida JMS; Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal., Torres JMLP; Department of Cardiothoracic Surgery, Centro Hospitalar São João, Porto, Portugal.
Jazyk: angličtina
Zdroj: Journal of cardiology cases [J Cardiol Cases] 2014 Oct 18; Vol. 11 (1), pp. 25-27. Date of Electronic Publication: 2014 Oct 18 (Print Publication: 2015).
DOI: 10.1016/j.jccase.2014.09.004
Abstrakt: Rupture of the atrioventricular groove is an uncommon but dreaded complication of mitral valve replacement. We present the case of a 74-year-old male submitted to mitral valve surgery, complicated by atrioventricular groove rupture presaged by the excessive rocking movement of the prosthesis seen in the pre-discharge transthoracic echocardiogram. < Learning objective: Valvular prosthesis rocking movement has been typically associated with paravalvular leaks and fistulae. To the best of our knowledge, this is the first case to illustrate the association of excessive rocking movement with atrioventricular groove weakness, anticipating subsequent sulcus rupture and pseudoaneurysm formation.>.
Databáze: MEDLINE
Externí odkaz: