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

 -  2016 
<br/><br/>Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0003-4975 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Heart Valve Prosthesis<br/>*Mitral Valve Annuloplasty/ae [Adverse Effects]<br/>*Mitral Valve Insufficiency/su [Surgery]<br/>*Mitral Valve Stenosis/su [Surgery]<br/>*Mitral Valve/su [Surgery]<br/>*Postoperative Complications<br/>Adult<br/>Echocardiography<br/>Female<br/>Heart Valve Prosthesis Implantation<br/>Humans<br/>Mitral Valve Insufficiency/di [Diagnosis]<br/>Mitral Valve Stenosis/di [Diagnosis]<br/>Mitral Valve Stenosis/et [Etiology]<br/>Reoperation
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Heart & Vascular Institute<br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Surgery/Surgical Critical Care
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article