Vol 68, No 7 (2010)
Chorzy trudni typowi
Published online: 2010-07-20
Long-lasting durability of Carpentier-Edwards pericardial bovine bioprosthesis in mitral position - a case report of unfavourable post redo valve surgery course
DOI: 10.33963/v.kp.79677
Kardiol Pol 2010;68(7):806-808.
Abstract
We describe a 73 year-old patient with mitral valve pericardial bioprosthesis Carpentier-Edwards 29M implanted due to the
rheumatic mitral stenosis 21 years ago. Hemodynamic destabilisation had emerged 18 months before the admission. Echocardiography
revealed significant bioprosthesis degeneration with calcification of its leaflets, small pannus on the bioprosthetic
ring, moderate mitral stenosis, severe mitral and tricuspid regurgitation with high pulmonary hypertension and moderate
aortic regurgitation. Redo valve surgery with mechanical Medtronic 27M valve implantation and tricuspid suture annuloplasty
was successfully performed. The postoperative course was complicated by bleeding and severe respiratory insufficiency
and the patient died 3 weeks after the surgery.
Kardiol Pol 2010; 68, 7: 806-808
Kardiol Pol 2010; 68, 7: 806-808
Keywords: bioprosthesisrheumatic heart diseaseelderlyredo valve surgery