Recurrent pulmonary edema in a patient with a prosthetic mitral valve.
Prosthetic heart valve obstruction is a severe and potentially fatal complication. We present a patient with a Bjork-Shiley prosthetic mitral and aortic valve implantation and recurrent pulmonary edema. Echocardiogram showed a rate-dependent "obstruction alternans" of the prosthetic mitral valve due to pannus formation.
Schurmans
Joris
J
Department of Cardiology, University Hospitals Leuven, Leuven, Belgium. joris.schurmans@uz.kuleuven.ac.be
Ferdinande
Bert
B
Keuleers
Siegmund
S
Herijgers
Paul
P
Budts
Werner
W
D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D005337:Fibrin; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006339:Heart Rate / Q000502:physiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011654:Pulmonary Edema / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery
D005337:Fibrin