title: Percutaneous Rescue for Critical Mitral Stenosis Late After Mitral Valve Repair.
abstract: We report a case of catastrophic hemodynamic compromise secondary to pannus ingrowth and severe mitral stenosis occurring years after repair of a nonrheumatic mitral valve. The initial repair included closure of a posterior leaflet cleft and implantation of an annuloplasty ring. We describe a hybrid treatment strategy for this severely compromised patient, which included initial placement of a right ventricular assist device followed by percutaneous balloon mitral valvuloplasty and, eventually, a definitive mitral valve reoperation. This case report reinforces the importance of routine clinical and echocardiographic follow-up for patients after mitral valve repair, and it includes the description of a novel therapeutic approach.
authors: Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland. Electronic address: rawnsalenger@umm.edu.
authors: Rawn
authors: R
authors: Salenger
authors: Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
authors: Xavier
authors: X
authors: Diao
authors: Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
authors: Murtaza Y
authors: MY
authors: Dawood
authors: Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
authors: Daniel L
authors: DL
authors: Herr
authors: Medstar Washington Hospital Center, Washington, DC.
authors: George A
authors: GA
authors: Sample
authors: Medstar Washington Hospital Center, Washington, DC.
authors: Augusto
authors: A
authors: Pichard
authors: Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland.
authors: James S
authors: JS
authors: Gammie
mesh_terms: D000328:Adult; D004452:Echocardiography; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation