Mitral valve repair and redo repair for mitral regurgitation in a heart transplant recipient

Journal of Cardiothoracic Surgery

Massimo A Mariani¹  Iwan CC van der Horst²  Michiel E Erasmus¹  Michiel Kuijpers¹  Bart M Koene¹  Theo J Klinkenberg¹  Inez J Wijdh-den Hamer¹  Johan Brügemann²  Wobbe Bouma¹ 

[1] Department of Cardiothoracic Surgery, University Medical Center Groningen, Groningen, the Netherlands;Department of Cardiology, University Medical Center Groningen, Groningen, the Netherlands

关键词: Reoperation;    Mitral valve repair;    Mitral regurgitation;    Heart transplantation;   

Others  :  1152738
DOI  :  10.1186/1749-8090-7-100

 received in 2012-02-24, accepted in 2012-09-23,  发布年份 2012

【 摘 要 】

A 37-year-old man with end-stage idiopathic dilated cardiomyopathy underwent an orthotopic heart transplant followed by a reoperation with mitral annuloplasty for severe mitral regurgitation. Shortly thereafter, he developed severe tricuspid regurgitation and severe recurrent mitral regurgitation due to annuloplasty ring dehiscence. The dehisced annuloplasty ring was refixated, followed by tricuspid annuloplasty through a right anterolateral thoracotomy. After four years of follow-up, there are no signs of recurrent mitral or tricupid regurgitation and the patient remains in NYHA class II. Pushing the envelope on conventional surgical procedures in marginal donor hearts (both before and after transplantation) may not only improve the patient’s functional status and reduce the need for retransplantation, but it may ultimately alleviate the chronic shortage of donor hearts.

【 授权许可】

   
2012 Bouma et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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