Transient Mitral Valve Regurgitation and Hemolysis Following Bioprosthetic Valve Replacement.
10.4326/jjcvs.28.50
- VernacularTitle:弁置換後に一過性の逆流と高度の溶血を生じた僧帽弁位生体弁置換術の１例
- Author:
Noboru Wakita
;
Hiroya Minami
;
Nobuchika Ozaki
;
Masahiro Sakata
;
Tsutomu Shida
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(1):50-52
- CountryJapan
- Language:Japanese
-
Abstract:
We report a 69-year-old woman with transient mitral valve regurgitation and hemolysis following mitral valve replacement with a Carpentier-Edwards pericardial bioprosthesis. She had a history of congestive heart failure caused by mitral valve regurgitation so we performed mitral valve replacement with a Carpentier-Edwards pericardial bioprosthesis (Model 6900). Three days after surgery, a systolic murmur became clearly audible and the serum LDH level reached a maximum of 2, 018IU/l on postoperative day 10. Echocardiography showed regurgitant flow through the center of the bioprosthetic valve. It was thought that stent distortion of the implanted pericardial bioprosthesis had occurred and re-operation would be necessary, but the regurgitant flow disappeared suddenly on postoperative day 12. If mitral valve regurgitation occurs following mitral valve replacement with a pericardial bioprosthesis, stent distortion should be taken into consideration.
