MedStar Authors catalog › Details for: Percutaneous Rescue for Critical Mitral Stenosis Late After Mitral Valve Repair.
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Percutaneous Rescue for Critical Mitral Stenosis Late After Mitral Valve Repair.

by Sample, George A; Pichard, Augusto D.
Citation: Annals of Thoracic Surgery. 102(5):e417-e418, 2016 Nov.Journal: The Annals of thoracic surgery.Published: 2016ISSN: 0003-4975.Full author list: Salenger R; Diao X; Dawood MY; Herr DL; Sample GA; Pichard A; Gammie JS.UI/PMID: 27772596.Subject(s): Adult | Echocardiography | Female | *Heart Valve Prosthesis | Heart Valve Prosthesis Implantation | Humans | *Mitral Valve/su [Surgery] | *Mitral Valve Annuloplasty/ae [Adverse Effects] | Mitral Valve Insufficiency/di [Diagnosis] | *Mitral Valve Insufficiency/su [Surgery] | Mitral Valve Stenosis/di [Diagnosis] | Mitral Valve Stenosis/et [Etiology] | *Mitral Valve Stenosis/su [Surgery] | *Postoperative Complications | ReoperationInstitution(s): MedStar Washington Hospital Center | MedStar Heart & Vascular InstituteDepartment(s): Surgery/Surgical Critical CareActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1016/j.athoracsur.2016.03.106 (Click here) Abbreviated citation: Ann Thorac Surg. 102(5):e417-e418, 2016 Nov.Local Holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007.Abstract: 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.Abstract: Copyright � 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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