Postoperative intermittent dysfunction of mitral valve prosthesis of unclear etiology identified by three-dimensional echocardiography.
Mariana M Cano-NietoFelipe Santibañez-EscobarJose A Arias-GodinezHugo G Rodríguez-ZanellaXochitl A Ortiz-LeonMaria E Ruiz-EsparzaJuan F Fritche-SalazarEdith Liliana Posada-MartínezPublished in: Echocardiography (Mount Kisco, N.Y.) (2022)
A 56-year-old patient with rheumatic heart disease and atrial fibrillation underwent mitral valve replacement with a mechanical prosthesis. The 3D perioperative echocardiogram showed an intermittent immobile medial disk without hemodynamic repercussion in the intensive care unit. The patient was taken back to the operating room and surgeons could not identify the cause. An enlarged left atrium and the size of the prosthetic valve was thought to have precipitated this condition. The heart team decided a biological prosthetic valve replacement would be performed. This case emphasizes the important role of the perioperative 3D echocardiogram in the detection of immediate surgical complications.
Keyphrases
- mitral valve
- left atrial
- left ventricular
- patients undergoing
- atrial fibrillation
- case report
- heart failure
- cardiac surgery
- pulmonary hypertension
- quality improvement
- rheumatoid arthritis
- high intensity
- left atrial appendage
- catheter ablation
- computed tomography
- palliative care
- pulmonary artery
- aortic valve
- risk factors
- aortic stenosis
- venous thromboembolism
- percutaneous coronary intervention
- oral anticoagulants
- vena cava
- label free
- acute coronary syndrome