A 29-year-old Harken disk mitral valve: long-term follow-up by echocardiographic and cineradiographic imaging.
An 81-year-old woman was evaluated for prosthetic mitral valve function. She had received a Harken disk mitral valve 29 years earlier due to severe mitral valve disease. This particular valve prosthesis is known for premature disk edge wear and erosion. The patients 2-dimensional Doppler echocardiogram showed the distinctive appearance of a disk mitral valve prosthesis. Color Doppler in diastole showed a unique crown appearance, with initial flow acceleration around the disk followed by convergence to laminar flow in the left ventricle. Cineradiographic imaging revealed normal valve function and minimal disk erosion. We believe this to be the longest reported follow-up of a surviving patient with a rare Harken disk valve. We present images with unique echocardiographic and cineangiographic features.
Hsi
David H
DH
Cardiology Division, Park Ridge Hospital, Rochester, New York 14626, USA. dhsi@unityhealth.org
Ryan
Gerald F
GF
Taft
Janice
J
Arnone
Thomas J
TJ
D000368:Aged; D000369:Aged, 80 and over; D002933:Cineradiography; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000473:pathology* / Q000503:physiopathology; D013997:Time Factors