Multiple paravalvular leak 17 years after a second mitral valve replacement

Journal of Cardiothoracic Surgery

Dong-Hyup Lee¹  Tae-Eun Jung¹ 

[1] Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, 317-1 Daemyung 5 Dong, Namgu, Daegu, Korea

关键词: Mitral valve replacement;    Complications;    Surgery;    Valve;    Heart;   

Others  :  1152573
DOI  :  10.1186/1749-8090-8-24

 received in 2012-07-18, accepted in 2013-02-14,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Jung and Lee; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Genoni M, Franzen D, Vogt P, et al.: Paravalvular leakage after mitral valve replacement: improved long-term survival with aggressive surgery? Eur J Cardiothorac Surg 2000, 17:14-19.
• [2]Hammermeister KE, Sethi GK, Henderson WG, Oprian C, Kim T, Rahimtoola S: A comparison of outcomes in men 11 years after heart-valve replacement with a mechanical valve or bioprosthesis: veterans affairs cooperative study on valvular heart disease. N Engl J Med 1993, 328:1289-1296.
• [3]Horstkotte D, Korfer R, Seipel L, Bircks W, Loogen F: Late complications in patients with Bjork-Shiley and St. Jude Medical heart valve replacement. Circulation 1983, 68(Pt 2):II175-84.
• [4]Fernandez G, Deville C, Horovitz S, Thibaud D, Fontan F: Long-term results (6 to 17 years) of 372 mitral valve replacements using the Bjork-Shiley prosthesis. Ann Chir 1989, 43:94-98.
• [5]Lindblom D: Long-term clinical results after aortic valve replacement with the Bjork-Shiley prosthesis. J Thorac Cardiovasc Surg 1988, 95:658-667.
• [6]Dhasmana JP, Blackstone EH, Kirklin JW, Kouchoukos NT: Factors associated with periprosthetic leakage following primary mitral valve replacement: with special consideration of the suture technique. Ann Thorac Surg 1983, 35:170-178.
• [7]Minami H, Asada T, Gan K: Perivalvular leakage 25 years after initial mitral valve replacement with a Björk-Shiley prosthesis. Gen Thorac Cardiovasc Surg 2008, 56:462-464.