title: Degenerative mitral valve insufficiency long term after heart transplantation: clinical and surgical considerations.
abstract: With the increasing survival of heart transplant recipients, the risk for acquired allograft disease will be augmented. Severe mitral valve insufficiency after heart transplantation is rarely described. Similar to the general population, a degenerative process may affect the allograft mitral valve. Herein are reported two cases of severe mitral valve degeneration necessitating mitral valve replacement long term after heart transplantation. The pathophysiology and operative strategy for these patients are discussed.
authors.affiliation: Department of Cardiac Surgery, Laval Hospital, Quebec City, Québec, Canada.
authors.forename: Siamak
authors.initials: S
authors.lastname: Mohammadi
authors.forename: François
authors.initials: F
authors.lastname: Dagenais
authors.forename: Mario
authors.initials: M
authors.lastname: Sénéchal
authors.forename: Marie-Hélène
authors.initials: MH
authors.lastname: LeBlanc
authors.forename: Christian
authors.initials: C
authors.lastname: Couture
authors.forename: Pierre
authors.initials: P
authors.lastname: Voisine
authors.forename: Daniel
authors.initials: D
authors.lastname: Doyle
mesh_terms: D000368:Aged; D004452:Echocardiography; D016027:Heart Transplantation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D013997:Time Factors; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery