Thorac Cardiovasc Surg 2005; 53(3): 178-180
DOI: 10.1055/s-2005-837548
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

Heart Transplantation and Consecutive Mitral Valve Replacement

I. Aleksic1 , J. A. Piotrowski1 , M. Kamler1 , P. Massoudy1 , H. G. Jakob1
  • 1Department of Thoracic and Cardiovascular Surgery, University Duisburg-Essen, Essen, Germany
Further Information

Publication History

Received August 1, 2004

Publication Date:
30 May 2005 (online)

Abstract

A 48-year-old man was diagnosed with progressive mitral insufficiency due to fibrosis of papillary muscles and chordae tendineae, necessitating mitral valve replacement (MVR) 8 months after cardiac transplantation. Donor echocardiography and inspection of the heart at procurement were inconspicuous. The patient is alive, free from valve-related complications and functionally improved six years after MVR. The limited yet successful experiences with left-sided valve repair or replacement in the transplanted heart are reviewed.

References

  • 1 Copeland J G, Rosado L J, Sethi G, Huston C, Lee R W. Mitral valve replacement six years after cardiac transplantation.  Ann Thorac Surg. 1991;  51 1014-1016
  • 2 Myers J C, Coopwood J B. Mitral valve replacement in the transplanted heart.  Ann Thorac Surg. 1996;  61 1832-1833
  • 3 Cavero M A, Pulpon L A, Rubio J A. et al . Mitral valve replacement in a heart transplant recipient with iatrogenic mitral regurgitation.  Ann Thorac Surg. 1996;  61 1530-1532
  • 4 Goldstein D J, Garfein E S, Aaranson K, Zuech N, Michler R E. Mitral valve replacement and tricuspid valve repair after cardiac transplantation.  Ann Thorac Surg. 1997;  63 1463-1465
  • 5 Wijburg E R, Balk A HMM, van Herwerden L A. Double valve repair in a transplanted heart.  J Thorac Cardiovasc Surg. 1998;  115 250-251
  • 6 Ladowski J S. Mitral valve repair in a transplanted heart via right thoracotomy.  Ann Thorac Surg. 2000;  70 1723-1725
  • 7 Vaturi M, Aravot D, Ben-Gal T. et al . Natural history of left-sided valves after heart transplantation.  Transplant Proc. 2000;  32 735-736
  • 8 Cladellas M, Oriol A, Caralps J M. Quantitative assessment of valvular function after cardiac transplantation by pulsed Doppler echocardiography.  Am J Cardiol. 1994;  73 1197-1201
  • 9 Bouchard A, Yock P, Schiller N B. et al . Value of color Doppler estimation of regurgitation volume in patients with chronic aortic insufficiency.  Am Heart J. 1989;  117 1099-1105

MD, PhD Ivan Aleksic

Department of Thoracic and Cardiovascular Surgery
University Duisburg-Essen

Hufelandstraße 55

45122 Essen

Germany

Phone: + 492017234901

Fax: + 49 20 17 23 54 71

Email: ivan.aleksic@uni-essen.de

    >