MİTRAL KAPAK REPLASMANI SONRASI GELİŞEN ENDER YERLEŞİMLİ PERİPROSTETİK KAÇAK: Olgu Sunumu
Mitral kapak replasmanı sonrası protez kapak ile mitral anülüs arasından kaynaklanan paravalvüler kaçak, endergörülen komplikasyonlardandır. Paravalvüler kaçağın oluşumunda cerrahi teknik ve hasta ile ilgili faktörler roloynayabilir. Daha önce mitral yetmezliği nedeniyle mitral kapak replasmanı uygulanıp, ilk ameliyatta kullanılandikiş tekniğine bağlı olduğu düşünülen anterior anülüs yerleşimli mitral paravalvüler kaçak nedeniyle 6 yıl sonrareopere edilen 65 yaşındaki olgu sunulmaktadır
A Relatively Rare Site of Periprosthetic Leak Following Mitral Valve Replacement: Case Report
Paravalvular leak at the suturing site of prosthetic valve in the mitral annulus following mitral valve replacement is a rare complication. Paravalvular leak may be due to surgical technique used for valve replacement and other patient-related factors. A 65 year old patient who was reoperated for mitral paravalvular leak located in the anterior annulus which might be due to the suturing technique used at the valve replacement operation is presented.
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- 1. Kouchoukos NT, Blackstone EH, Doty DB, et al. Mitral
valve disease with or without tricuspid valve disease.
In: Kirklin/Barratt-Boyes Cardiac Surgery. Third
edition. Philadelphia, Pennsylvania, Churchill
Livingstone, 2003: 524.
- 2. Jindani A, Neville EM, Venn G, Williams BT.
Paraprosthetic leak: a complication of cardiac valve
replacement. J Cardiovasc Surg (Torino) 1991; 32
:503-508.
- 3. Orzulak TA, Schaff HV, Danielson GK, et al: Results of
reoperation for peri-prosthetic leakage. Ann Thorac
Surg 1983; 35 :584.
- 4. Figuera D, Montero CG, Cooley D, et al: Heart valve
replacement and future trends in cardiac surgery. New
York, Futura; 1987: 55-57.
- 5. Kirali K, Mansuroğlu D, Yaymacı B, Ömeroğlu SN,
Başaran Y, İpek G, Yakut C: Paravalvular leakage after
mitral valve replacement: is left atrial enlargement an
additional indication for reoperation? J Heart Valve Dis
2001; 10: 418-425.
- 6. Newton JR Jr, Glower DD, Davis JW, Rankin JS.
Evaluation of suture techniques for mitral valve
replacement: J Thorac Cardiovasc Surg 1984; 88: 248-
252.
- 7. Rizzoli G, Russo R, Resta M, Valfre C, Mazzucco A,
Brumana T, Aru G, Livi U, Gallucci V. Mitral valve
prosthesis dehiscence necessitating reoperation. An
analysis of the risk factors involved. Thorac Cardiovasc
Surg 1983; 31: 91-95.
- 8. Genoni M, Franzen D, Tavakoli R, Seiffert B, Graves
K, Jenni R, Turina M. Does the morphology of mitral
paravalvular leaks influence symptoms and hemolysis?
J Heart Valve Dis 2001; 10: 426-430.
- 9. Siavosh Khonsari. Cardiac Surgey: Safeguards and
Pitfalls in Operative Technique. Second edition ,
Lippincott-Raven, 1997: 99.