title: Triple prosthetic valve dysfunction 30 years after surgery.
abstract: Triple prosthetic valve operation carries a high peri-procedural risk and is associated with decreased long-term survival. Herein is reported the case of a 59-year-old female with a 30-year history of successful triple-valve replacement for rheumatic heart disease, who presented with symptomatic valvular dysfunction and rhythm disturbances. The patient was one of the few who had survived more than 30 years after triple-valve surgery. Illustrative echocardiograms and cinefluoroscopic images are provided, and issues regarding prosthetic valve dysfunction and rhythm disturbance management in operated patients are briefly discussed.
authors.forename: Maria
authors.initials: M
authors.lastname: Bonou
authors.forename: Eva D
authors.initials: ED
authors.lastname: Papadimitraki
authors.forename: John
authors.initials: J
authors.lastname: Skiadas
authors.forename: John
authors.initials: J
authors.lastname: Barbetseas
mesh_terms: D001021:Aortic Valve; D017548:Echocardiography, Transesophageal; D005260:Female; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D011475:Prosthesis Failure; D012214:Rheumatic Heart Disease / Q000601:surgery*; D013997:Time Factors; D014261:Tricuspid Valve