Heart transplantation and consecutive mitral valve replacement.
A 48-year-old man was diagnosed with progressive mitral insufficiency due to fibrosis of papillary muscles and chordae tendineae, necessitating mitral valve replacement (MVR) 8 months after cardiac transplantation. Donor echocardiography and inspection of the heart at procurement were inconspicuous. The patient is alive, free from valve-related complications and functionally improved six years after MVR. The limited yet successful experiences with left-sided valve repair or replacement in the transplanted heart are reviewed.
Aleksic
I
I
Department of Thoracic and Cardiovascular Surgery, University Duisburg-Essen, Essen, Germany. ivan.aleksic@uni-essen.de
Piotrowski
J A
JA
Kamler
M
M
Massoudy
P
P
Jakob
H G
HG
D002311:Cardiomyopathy, Dilated / Q000453:epidemiology / Q000601:surgery; D015897:Comorbidity; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000453:epidemiology / Q000601:surgery*; D011184:Postoperative Period; D012189:Retrospective Studies