title: Recurrent pulmonary edema in a patient with a prosthetic mitral valve.
abstract: 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.
authors.affiliation: Department of Cardiology, University Hospitals Leuven, Leuven, Belgium. joris.schurmans@uz.kuleuven.ac.be
authors.forename: Joris
authors.initials: J
authors.lastname: Schurmans
authors.forename: Bert
authors.initials: B
authors.lastname: Ferdinande
authors.forename: Siegmund
authors.initials: S
authors.lastname: Keuleers
authors.forename: Paul
authors.initials: P
authors.lastname: Herijgers
authors.forename: Werner
authors.initials: W
authors.lastname: Budts
mesh_terms: 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
chemical_list: D005337:Fibrin