A direct suture repair for a paravalvular leak 23 years after the second mitral valve replacements: A case report.
A 59-year-old male was referred for surgery resulting from a paravalvular leak at the mitral position. The patient underwent his first mitral valve replacement with a Bjork-Shiley valve 33 years before this situation arose. He underwent his second mitral valve replacement with a St. Jude Medical mechanical prosthesis for valve thrombosis 10 years later. Serial echocardiography had always shown good results until this time; thus the leak suddenly occurred 23 years after his second mitral valve replacement without any preceding signs. At surgery, a small fistula was observed. The paravalvular leak was successfully repaired by a direct suture repair. Although his postoperative course was complicated by a deep sternal infection, he has fully recovered and currently is in the New York Heart Association class 1 three years after the surgery.
Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, Nagoya, Japan.
Tomonobu
T
Abe
Toshiaki
T
Ito
Tomo
T
Yoshizumi
Tomohiro
T
Nakayama
Hiroaki
H
Hagiwara
Masato
M
Nakayama
D006349:Heart Valve Diseases / Q000209:etiology / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D012086:Reoperation; D013249:Sternum / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology / Q000628:therapy; D013536:Suture Techniques; D013908:Thoracotomy / Q000009:adverse effects