Mechanical Valve Stuck in the Mitral Position in a Patient with Antiphospholipid Syndrome.
10.4326/jjcvs.29.414
- VernacularTitle:抗リン脂質抗体症候群により僧帽弁位人工弁のｓｔｕｃｋ ｖａｌｖｅをきたした１例
- Author:
Hiromitsu Takakura
;
Tatsuumi Sasaki
;
Kazuhiro Hashimoto
;
Takashi Hachiya
;
Katsuhisa Onoguchi
;
Motohiro Oshiumi
;
Shigeyuki Takeuchi
- Publication Type:Journal Article
- Keywords:
stuck valve
- From:Japanese Journal of Cardiovascular Surgery
2000;29(6):414-417
- CountryJapan
- Language:Japanese
-
Abstract:
A 69-year-old woman, who had undergone mitral valve replacement, developed acute congestive heart failure and was transferred to our institution. Cineradiography demonstrated that two leaflets of the St. Jude Medical valve were stuck in a closed position. Emergency redo mitral valve replacement was performed with a CarboMedics valve. Postoperative hematological studies yielded a diagnosis of antiphospholipid syndrome. Although postoperative anticoagulant therapy was performed more carefully than usual, the prosthesis became stuck again. Therefore, a third operation was performed using a tissue prosthesis. We concluded that mitral valve plasty should be a first option for patients with antiphospholipid syndrome undergoing mitral valve surgery. Should prosthetic valve replacement be required, a tissue prosthesis would be best.
