Recurrent aortic valve prosthesis dehiscence secondary to aortoarteritis: three case reports and literature review.
We report three young Chinese male patients who underwent aortic valve replacement for severe aortic regurgitation of subacute onset, complicated by recurrent dehiscence of the aortic valve prosthesis, due to aortitis. One of the three patients underwent aortic valve replacement three times and progression of the prosthesis dehiscence was arrested with the use of corticosteroids. A review of the literature on the prognosis and treatment of aortoarteritis with particular reference to the management of recurrent valvular dehiscence is discussed.
Department of Cardiology, Grantham Hospital, 125 Wong Chuk Hang Road, Aberdeen, Hong Kong.
E M
EM
Chau
K L
KL
Cheung
K H
KH
Fu
J W
JW
Lee
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D001025:Aortitis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D001167:Arteritis / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D018450:Disease Progression; D005938:Glucocorticoids / Q000627:therapeutic use; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011239:Prednisolone / Q000627:therapeutic use; D011379:Prognosis; D012008:Recurrence; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology
D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids; D011239:Prednisolone