Heart Transplantation and Consecutive Mitral Valve Replacement

I. Aleksic; J. A. Piotrowski; M. Kamler; P. Massoudy; H. G. Jakob

doi:10.1055/s-2005-837548

The Thoracic and Cardiovascular Surgeon, Table of Contents

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

Short Communication

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

Abstract

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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.

Key words

Cardiac transplantation - mitral valve - mitral valve replacement

Full Text

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