title: Implantation of a mechanical valve in a previously implanted mitral bioprosthetic orifice in a patient with mitral bioprosthetic failure.
abstract: Complete removal of a previously implanted dysfunctional mitral bioprosthesis could result in extensive damage. Therefore, a 66-year-old female patient with a deteriorated mitral bioprosthesis had leaflet excision, and a "new" mechanical valve was sewn onto the previously implanted bioprosthetic sewing cuff. On postoperative echocardiography, the implanted valve had good hemodynamic performance with no paravalvular leakage. The patient's clinical condition improved after surgery.
authors.affiliation: Division of Cardiovascular Surgery, Ashikaga Red Cross Hospital, Honjo, Tochigi, Japan. k.tsutsumi@ashikaga.jrc.or.jp
authors.forename: Koji
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Anzai
authors.forename: Ryuichi
authors.initials: R
authors.lastname: Takahashi
mesh_terms: D000368:Aged; D001705:Bioprosthesis; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve; D011475:Prosthesis Failure