Stuck Mitral Bio-Prosthetic Valve
| Autor: | Ajit S. Mullasari, Ommega Internationals, Anand Gnanaraj, Suma M. Victor, J. Ezhilan, Avijit Basu |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Aspirin
medicine.medical_specialty business.industry medicine.medical_treatment Mitral valve replacement Warfarin Hemodynamics medicine.disease Pulmonary edema medicine.anatomical_structure Infective endocarditis Mitral valve Internal medicine cardiovascular system medicine Cardiology Sinus rhythm cardiovascular diseases business medicine.drug |
| Zdroj: | Journal of Heart and Cardiology. 2:1-3 |
| ISSN: | 2378-6914 |
| DOI: | 10.15436/2378-6914.16.031 |
| Popis: | A 26-year-old lady was evaluated at our hospital for rheumatic mitral valve disease in March 2007. She underwent Mitral Valve Replacement (MVR) with a bio-prosthetic valve (Bio-cor 27 mm) in April 2007. She was discharged on the 9th day with stable hemodynamics and optimized INR values. During follow up she had optimal INR values and normal gradients across the valve. After three months of adequate anticoagulation her warfarin was stopped since she was in sinus rhythm. She continued to take aspirin and remained in sinus rhythm. She was advised infective endocarditis prophylaxis. Eleven months after MVR she developed breathlessness over one week, which gradually worsened to orthopnoea. On admission she had pulmonary edema and the gradients across the bio-prosthetic mitral valve were increased (Maximum of 34 mmHg and Mean of 24 mmHg). Her previous echocardiogram in July 2007 showed normal gradients across the valve. Her transthoracic and transesophageal echocardiograms were suggestive of a stuck mitral prosthesis (Echo figures). There was a mobile membranous structure that appeared like a detached valve apparatus but could not be clearly delineated pre-operatively. We assumed that it was an unstable prosthetic structure. The intra-operative echocardiogram also showed similar features. |
| Databáze: | OpenAIRE |
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