A Cranial-Sided Approach for Repeated Mitral Periprosthetic Leak After Right Pneumonectomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 26897201.
- Also identified by DOI 10.1016/j.athoracsur.2015.05.047.
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Abstract
A 72-year-old man presented with worsening dyspnea on effort. He underwent right pneumonectomy 40 years ago, then mitral valve replacement through a right thoracotomy 8 years ago with repeat surgery to repair a periprosthetic valve leak; the mediastinum was displaced to the right, and the heart was rotated counterclockwise. Transthoracic echocardiography showed periprosthetic valve leak recurrence near the left atrial appendage. We repaired the periprosthetic valve leak through a median sternotomy. Transecting the main pulmonary artery allowed us to widely open the cranial-sided left atrium. We obtained good exposure of the mitral valve, and repaired the periprosthetic valve leak using pledgeted sutures and a pericardial patch.
Medical subject headings
- Bioprosthesis
- Heart Valve Prosthesis Implantation
- Mitral Valve Insufficiency
- Pneumonectomy
- Prosthesis Failure
- Surgical Flaps