Thoracoscopic-Assisted Repair of Perivalvular Leakage of Prosthetic Mitral Valve.

Wei, Shixiong; Ren, Tong; Zhang, Lin; He, Xiaoyi; Li, Lianggang; Jiang, Shengli · Ann Thorac Surg · 2021

case_report · Level V

Where this comes from

Abstract

Perivalvular leakage (PVL) after valve replacement is an awkward complication, and is liable to recur if re-replacement of a prosthetic valve is attempted. A 58-year-old male patient received initial mitral valve replacement 17 years earlier and recently developed PVL in mitral position. In this case we attempted an alternative way to repair mitral PVL through a mini-thoracotomy with thoracoscopic assistance without valve re-replacement surgery. The patient recovered uneventfully and was discharged on the day 7 after operation. Echocardiography revealed no regurgitation or new PVL developing during the 3 months follow-up.

Medical subject headings