title: A fenestrated aortic valve contributing to iatrogenic aortic insufficiency post mitral valve replacement.
abstract: A case of an unusual local complication of cardiac valvular surgery is presented. Distortion of the geometry of the aortic valve base by a prosthetic mitral valve sewing ring allowed aortic insufficiency through the aortic valve's central orifice, as well as through an aortic valve cusp fenestration. During the 6 years after valve surgery, this patient developed chronic left heart failure contributed to by the aortic insufficiency and eventually, at age 65, required cardiac transplantation. Surgeons and pathologists should be aware of this unusual local complication of cardiac valve surgery, as it may have serious consequences.
authors: From Anatomical Pathology, Department of Laboratory Medicine, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: A P
authors: AP
authors: Lee
authors: From Anatomical Pathology, Department of Laboratory Medicine, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: V M
authors: VM
authors: Walley
authors: From Cardiology, Department of Medicine, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: K J
authors: KJ
authors: Ascah
authors: From Anatomical Pathology, Department of Laboratory Medicine, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: J P
authors: JP
authors: Veinot
authors: From Cardiothoracic Surgery, Department of Surgery, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: R A
authors: RA
authors: Davies
authors: From Cardiology, Department of Medicine, and the University of Ottawa Heart Institute at The Ottawa Civic Hospital Ottawa, Canada.
authors: W J
authors: WJ
authors: Keon