Percutaneous Rescue for Critical Mitral Stenosis Late After Mitral Valve Repair

We report a case of catastrophic hemodynamic compromise secondary to pannus ingrowth and severe mitral stenosis occurring years after repair of a nonrheumatic mitral valve. The initial repair included closure of a posterior leaflet cleft and implantation of an annuloplasty ring. We describe a hybrid...

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Bibliographic Details
Published in:The Annals of thoracic surgery Vol. 102; no. 5; pp. e417 - e418
Main Authors: Salenger, Rawn, MD, Diao, Xavier, BS, Dawood, Murtaza Y., MD, Herr, Daniel L., MD, Sample, George A., MD, Pichard, Augusto, MD, Gammie, James S., MD
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 01-11-2016
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Summary:We report a case of catastrophic hemodynamic compromise secondary to pannus ingrowth and severe mitral stenosis occurring years after repair of a nonrheumatic mitral valve. The initial repair included closure of a posterior leaflet cleft and implantation of an annuloplasty ring. We describe a hybrid treatment strategy for this severely compromised patient, which included initial placement of a right ventricular assist device followed by percutaneous balloon mitral valvuloplasty and, eventually, a definitive mitral valve reoperation. This case report reinforces the importance of routine clinical and echocardiographic follow-up for patients after mitral valve repair, and it includes the description of a novel therapeutic approach.
Bibliography:ObjectType-Case Study-2
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2016.03.106