[Plethysmographic assessment of pulse wave may be helpful in the detection of prosthetic valve dysfunction--a case report].
A case of a 63-year-old female with prosthetic mitral and aortic valves is described. The long-term post-operative period was complicated by infective endocarditis, persistent atrial fibrillation requiring pacemaker implantation and total a-v node ablation as well as ischaemic stroke which occurred one year before present hospitalisation. This time the patient was admitted to the hospital due to progressive heart failure. Transesophageal echocardiography showed a cyclic intermittent opening of both prosthetic valves full opening was present during every second cardiac cycle. The same phenomenon was documented using plethysmographic recording of a pulse wave from a finger. The patient underwent prosthetic valve replacement. Intraoperatively, a fibrous tissue ingrowth was detected.
Konopka
Anna
A
Instytut Kardiologii, Warszawa, Poland.
Kumor
Magda
M
Szajewski
Tomasz
T
Szufladowicz
Marek
M
Konka
Marek
M
Zakrzewski
Dariusz
D
Stepińska
Janina
J
D001021:Aortic Valve / Q000503:physiopathology* / Q000601:surgery / Q000648:ultrastructure; D018450:Disease Progression; D017548:Echocardiography, Transesophageal; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000503:physiopathology; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D010991:Plethysmography; D011475:Prosthesis Failure