Repair of perivalvular leakage without re-replacement of prosthetic valves.
Perivalvular leakage after valve replacement is an awkward complication, and is liable to recur if re-replacement of a prosthetic valve is attempted. We describe an alternative way to repair perivalvular leakage by plastering the crack resulting from left-atrial degeneration around the prosthetic cuff using an equine pericardial roll. Our technique, which does not involve re-replacement of the prosthetic valve, is an easy, timesaving, and cost-effective method. The pericardium is useful for covering the crack between the prosthetic cuff and the hard left-atrial wall.
Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Japan.
Masaaki
M
Ryomoto
Masataka
M
Mitsuno
Shinya
S
Fukui
Yuji
Y
Miyamoto
D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods