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Percutaneous Rescue for Critical Mitral Stenosis Late After Mitral Valve Repair.

MedStar author(s):

Citation: Annals of Thoracic Surgery. 102(5):e417-e418, 2016 NovPMID: 27772596Institution: MedStar Heart & Vascular Institute | MedStar Washington Hospital CenterDepartment: Surgery/Surgical Critical CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Heart Valve Prosthesis | *Mitral Valve Annuloplasty/ae [Adverse Effects] | *Mitral Valve Insufficiency/su [Surgery] | *Mitral Valve Stenosis/su [Surgery] | *Mitral Valve/su [Surgery] | *Postoperative Complications | Adult | Echocardiography | Female | Heart Valve Prosthesis Implantation | Humans | Mitral Valve Insufficiency/di [Diagnosis] | Mitral Valve Stenosis/di [Diagnosis] | Mitral Valve Stenosis/et [Etiology] | ReoperationYear: 2016 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:

0003-4975

Name of journal: The Annals of thoracic surgeryAbstract: Copyright � 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.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.All authors: Dawood MY, Diao X, Gammie JS, Herr DL, Pichard A, Salenger R, Sample GAFiscal year: FY2017Digital Object Identifier:

https://dx.doi.org/10.1016/j.athoracsur.2016.03.106

Date added to catalog: 2017-04-11

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	27772596	Available		27772596

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

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.

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