[Heart valves after 22 years - good long-term function of aortic homograft, advanced impairment in function of atrioventricular valves].
We report a case of a 61-year-old female patient with a history of aortic valve replacement, who was admitted to our hospital with symptoms and signs of decompensated heart failure (NYHA class III). Transthoracic echocardiogram revealed mitral valve and tricuspid valve regurgitation (III grade) with normal function of aortic valve homograft implanted 22 years ago. The patient underwent cardiosurgical mitral valve replacement and tricuspid valve annuloplasty with very good result. An aortic valve homograft may be the best alternative to a mechanical valves for a young female patients.
Michalski
Błazej
B
II Katedra Kardiologii, Uniwersytet Medyczny, ul. K. Kniaziewicza 1/5, Łódź. bmichalski@op.pl
Chrzanowski
Lukasz
L
Krzemińska-Pakula
Maria
M
Kasprzak
Jarosław D
JD
D001021:Aortic Valve / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000209:etiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D014184:Transplantation, Homologous / Q000009:adverse effects; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*