Xenograft calcification in Reiter's syndrome.
Reiter's syndrome is characterized by multiple joint arthropathy, and can affect the heart. One manifestation of cardiac involvement is aortic insufficiency that may require valve replacement. Herein is reported a case with rapidly progressive and severe calcification of a bovine pericardial prosthesis seven years after implantation, in the setting of Reiter's syndrome. Based on this experience, it is suggested that echocardiographic evaluations be scheduled more frequently than usual if a bioprosthetic rather than mechanical valve is chosen for a patient with Reiter's syndrome.
Howard
J Harrison
JH
Departments of Surgery, Birmingham Veterans Administration Medical Center, University of Alabama at Birmingham, Birmingham, AL 35294-0007, USA.
Litovsky
Silvio H
SH
Tallaj
Jose A
JA
Liu
Xiuli
X
Holman
William L
WL
D001022:Aortic Valve Insufficiency / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000209:etiology* / Q000473:pathology; D016918:Arthritis, Reactive / Q000150:complications*; D001705:Bioprosthesis / Q000009:adverse effects; D002114:Calcinosis / Q000209:etiology*; D003324:Coronary Artery Disease / Q000209:etiology; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D014183:Transplantation, Heterologous / Q000009:adverse effects