Severe intermittent intraprosthetic regurgitation after mitral valve replacement with subvalvular preservation
| Autor: | Michel Hiltgen, Alain Berrebi, Bruno Gallet, Alain Deloche, Jean Michel Grinda, Catherine Adams |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Reoperation
medicine.medical_specialty medicine.medical_treatment Ventricular outflow tract obstruction Regurgitation (circulation) Prosthesis Internal medicine medicine Humans Mitral Valve Stenosis Radiology Nuclear Medicine and imaging Residual mass cardiovascular diseases Aged Heart Valve Prosthesis Implantation Mitral regurgitation Ventricular function business.industry Mitral valve replacement Mitral Valve Insufficiency Surgery cardiovascular system Cardiology Female medicine.symptom Cardiology and Cardiovascular Medicine Complication business Echocardiography Transesophageal |
| Zdroj: | Journal of the American Society of Echocardiography. 14:314-316 |
| ISSN: | 0894-7317 |
| DOI: | 10.1067/mje.2001.109685 |
| Popis: | Preservation of the subvalvular apparatus during mitral valve replacement preserves left ventricular function and improves long-term survival. Complications of subvalvular preservation include left ventricular outflow tract obstruction and prosthesis impingement. We report a case of severe intermittent intraprosthetic mitral regurgitation detected by transesophageal echocardiography after mitral valve replacement by a bileaflet mechanical prosthesis with subvalvular preservation. Intravalvular prosthetic valve regurgitation was caused by remnants of the subvalvular apparatus, which were shown at reoperation to interfere with prosthetic leaflet motion and which were excised. Postoperative transesophageal echocardiography showed neither abnormal mitral regurgitation nor residual mass. The use of intraoperative transesophageal echocardiography could enable the detection of this rare complication. (J Am Soc Echocardiogr 2001;14:314-6.) |
| Databáze: | OpenAIRE |
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