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Stuck Valve

Saikat Bandyopadhyay, Kayapanda Mandana
No abstract text is available yet for this article.
April 23, 2018: A&A practice
Ayumi Koga, Ken Okamoto, Hirokazu Tazume, Toshihiro Fukui
Antiphospholipid syndrome is a rare autoimmune disease with a hypercoagulable state causing vascular thrombosis. We present the case of a 42-year old female who underwent mitral valve replacement with a mechanical valve 15 months ago. The postoperative course was uneventful, and echocardiography performed 14 months postoperatively showed good valve function. The patient developed sudden dyspnea 15 months postoperatively and was referred to our hospital. Echocardiography revealed mitral stenosis with stuck leaflets...
January 31, 2018: Heart Surgery Forum
Andreas W Schoenenberger, André Moser, Dominic Bertschi, Peter Wenaweser, Stephan Windecker, Thierry Carrel, Andreas E Stuck, Stefan Stortecky
OBJECTIVES: This study sought to evaluate whether frailty improves mortality prediction in combination with the conventional scores. BACKGROUND: European System for Cardiac Operative Risk Evaluation (EuroSCORE) or Society of Thoracic Surgeons (STS) score have not been evaluated in combined models with frailty for mortality prediction after transcatheter aortic valve replacement (TAVR). METHODS: This prospective cohort comprised 330 consecutive TAVR patients ≥70 years of age...
February 26, 2018: JACC. Cardiovascular Interventions
Wenzong Luo, Xinxin Wang, Jing Li, Yun Mu, Yiming Ni
BACKGROUND: Intermittent stuck valve after mechanical valve replacement surgery is a very rare and severe complication. CASE SUMMARY: We present 1 case of a 53-year-old woman after aortic valve replacement for severe aortic valve stenosis combined with hypertrophy septum. She was diagnosed with intermittent stuck valve only 1 day after surgery by clinical symptoms, intraoperative transoesophageal echocardiogram, and intraoperative findings. CONCLUSIONS: Although indications for concomitant myectomy during aortic valve replacement are not clear, we recommend myectomy to prevent stuck valve after St Jude Medical Regent prosthesis replacement for severe aortic valve stenosis combined with hypertrophy septum...
March 2017: Medicine (Baltimore)
Etienne L Couture, Benoit M Labbé, Robert DeLarochellière, Josep Rodés-Cabau, Jean-Michel Paradis
No abstract text is available yet for this article.
July 25, 2016: JACC. Cardiovascular Interventions
Shun Saito, Hisanari Ishii
An 80-year-old woman with severe aortic stenosis was planned to undergo transcatheter aortic valve implantation (TAVI) under general anesthesia. Due to severe stenosis of the femoral arteries, the left iliac artery was cut down and a 16 F Edwards SAPIEN Expandable Sheath (eSheath : Edwards Lifesciences, Irvine, CA) was inserted into the artery smoothly. After balloon aortic valvuloplasty (BAV), an artificial valve was tried to deploy but stuck in the middle of eSheath. Suddenly regional saturation of oxygen (rSO2) at the ipsilateral foot decreased steeply without other significant hemodynamic instabilities...
February 2016: Masui. the Japanese Journal of Anesthesiology
Rahul Gupta, Rajan Dagla, Lila Dhar Agrawal, Pramila Sharma
Various complications of distal end of the ventriculoperitoneal (VP) shunt have been described in the literature. We present, here, an extremely rare and potentially severe complication of vesical calculi formation on the slit valves of distal end of VP shunt which erosively migrated into the urinary bladder. Suprapubic cystolithotomy performed, peritoneal end of the tube found to be eroding and entering into the bladder with two calculi firmly stuck to slit valves in the distal end of the tubing were removed...
October 2015: Journal of Pediatric Neurosciences
Tadashi Omoto, Atsushi Aoki, Kazuto Maruta, Tomoaki Masuda
PURPOSE: The aim of this study was to elucidate the characteristics of chronic hemodialysis (HD) patients requiring surgery during the active phase of infective endocarditis (IE). METHODS: From December 2004 to July 2015, 58 patients underwent surgery in our institute for active IE. Seven patients had been on HD for 1-15 years. Their preoperative profiles and surgical outcomes were compared to those of the other 51 patients (non-HD group). RESULTS: The predominant causative microorganisms in the HD group were Staphylococcus spp, particularly methicillin-resistant Staphylococcus aureus (MRSA), whereas Streptococcus spp were predominant in the non-HD group...
June 20, 2016: Annals of Thoracic and Cardiovascular Surgery
Carolyn Weber, Antje-Christin Deppe, Kaveh Eghbalzadeh, Maximilian Scherner, Daphne Gray, Payman Majd, Michael Gawenda, Stephan Rosenkranz, Tanja Rudolph, Navid Madershahian, Thorsten Wahlers
BACKGROUND: In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents. CASE PRESENTATION: We report on a 75-year-old frail patient with severe aortic stenosis and a rapid increase of an infra-renal aneurysm. He had a history of multiple endovascular interventions on the aorta. Due to his frail preoperative status we decided to perform a transfemoral transcatheter aortic valve implantation in combination with a simultaneous surgical abdominal aneurysm repair...
February 2, 2016: Journal of Cardiothoracic Surgery
Gianni Dall'Ara, Francesco Saia, Carolina Moretti, Cinzia Marrozzini, Nevio Taglieri, Barbara Bordoni, Matteo Chiarabelli, Cristina Ciuca, Claudio Rapezzi, Antonio Marzocchi
OBJECTIVES: To evaluate the incidence, treatment, and outcomes of acute aortic regurgitation (ARR) complicating BAV. BACKGROUND: In the transcatheter aortic valve implantation (TAVI) era, there is an increase of percutaneous balloon aortic valvuloplasty (BAV) procedures with different indications. METHODS: From the prospective BAV registry of the University of Bologna, which has enrolled patients between the year 2000 and the present, we selected those who suffered intraprocedural AAR with overt hemodynamic instability...
March 1, 2017: Catheterization and Cardiovascular Interventions
Tomohisa Kawahito, Yoshiyasu Egawa, Homare Yoshida, Yasushi Shimoe, Tatsuya Onishi, Yuhichi Miyagi, Kazuya Terada, Akira Ohta
A 24-day-old boy suddenly developed progressive heart failure and was transported to our hospital. Echocardiography showed massive mitral regurgitation due to chordal rupture. Mitral valve repair was performed at 28 days of life, but postoperative valvular function was not satisfactory. A mechanical valve was implanted in the supra-annular position at 37 days of life. Two months after valve replacement, the mechanical valve was suddenly stuck. Emergent redo valve replacement was performed, but the prosthetic valve became stuck again 2 months after the 3rd operation, despite sufficient anti-coagulation therapy...
July 2015: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Kanji Matsuzakil, Yohei Kudo, Akihiko Ikeda, Taisuke Konishi, Tomoaki Jikuyal, Yuji Hiramatsu
A case is reported of successful surgery using the Konno procedure seven years after the patient had undergone aortic valve replacement (AVR) with the Nicks procedure. A 79-year-old woman with aortic stenosis and a small aortic annulus had undergone previous AVR with a 17-mm mechanical prosthesis and aortic annular enlargement by the Nicks procedure. Redo surgery was performed using a 19-mm bioprosthesis with the Konno procedure, to replace a valve that had become stuck due to pannus formation. As intense adhesion was present around the heart, especially behind the posterior aortic wall where the Nicks procedure had been performed, the Konno procedure provided the advantage of a good field of vision at the aortic annulus...
January 2015: Journal of Heart Valve Disease
Cüneyt Toprak, Gökhan Kahveci, Anıl Avcı, Cevat Kırma, Ali M Esen
Percutaneous edge-to-edge mitral valve repair using the MitraClip (Abbot Vascular, USA) system is a promising technique for mitral regurgitation treatment in select high-risk surgical patients. Although the safety and efficacy of the technique have been demonstrated, a few complications of the MitraClip device have been reported. In this report, we present a rare complication that recently occurred during the performance of a MitraClip procedure in a patient with severe functional mitral regurgitation. One MitraClip arm got stuck inside the guide catheter in the left atrium and a decision was made to discontinue percutaneous intervention because the problem could not be resolved...
April 2015: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Ömer Tanyeli, Yüksel Dereli, Mehmet Akif Düzenli, Niyazi Görmüş
No abstract text is available yet for this article.
April 2015: Anatolian Journal of Cardiology
Sadaf F Jafferbhoy, John R Asquith, Ravish Jeeji, Adrian Levine, Madhavan Menon, Arun D Pherwani
Removal of tunnelled central venous catheters can become complex if left in situ for a prolonged period. We report a challenging case of a stuck tunnelled haemodialysis catheter, which required sternotomy with cardio-pulmonary bypass for retrieval. A 47-year-old female had failed attempts to remove the venous limb of a Tessio line on the ward. A cut down on the internal jugular vein and division of the fibrin sheath failed to release it. Synchronous traction was applied via a snare inserted through a femoral approach...
April 5, 2015: Journal of Surgical Case Reports
Shuhei Kakizaki, Seiichi Tazawa, Shigeo Kure, Yoshikatsu Saiki
We report a case of prosthetic valve thrombosis in an 18-year-old man. Total surgical repair of tetralogy of Fallot was performed at 3 years of age. At the age of 18, he underwent pulmonary valve replacement because of exacerbating pulmonary trunk obstruction. After surgery, valve malfunction was suspected. We attempted to employ electrocardiogram (ECG)-gated multidetector computed tomography (MDCT). The stuck valve was clearly visualized together with a thrombus within. Thrombolytic therapy was undertaken on these findings...
December 2014: Thoracic and Cardiovascular Surgeon Reports
Baris Sensoy, Uğur Canpolat, Serkan Cay, Ozcan Ozeke, Kadri Acikgoz, Ozgur Kus, Omac Tufekcioglu
Prosthetic valve thrombosis (PVT) is a rare but serious complication of implanted mechanical valves. Intravenous thrombolytic treatment has emerged as an alternative to surgical therapy in the management of patients with stuck valves. As tricuspid valve replacement is a rare venture, the indications for such therapy and appropriate patient selection are evolving. As the type, dose, and route of administration of thrombolytic agents differ, major complications can be seen in the rapid infusion protocols. In patients with PVT, especially with right-sided valves, thrombolysis with intravenous slow infusion has given discrete, successive sessions guided by serial transthoracic echocardiography and cine/fluoroscopy which may be achieved with a low risk of complications and a high rate of success...
March 2015: Blood Coagulation & Fibrinolysis: An International Journal in Haemostasis and Thrombosis
Neeraj Awasthy, Yasser Bhat, S Radhakrishnan, Rajesh Sharma
Eosinophilia is a very unusual and rare cause of thrombosis of prosthetic mitral valve. We report a 10-year-old male child of recurrent stuck prosthetic mitral valve. The child underwent mitral valve replacement for severe mitral regurgitation secondary to Rheumatic heart disease. He had recurrent prosthetic mitral valve thrombosis, despite desired INR levels. There was associated eosinophilia. The child was treated on the lines of tropical eosinophilia with oral prednisolone and diethylcarbamazine, the eosinophil count dropped significantly with no subsequent episode of stuck mitral valve...
March 2015: Pediatric Cardiology
Jiyong Moon, Takaya Hoashi, Koji Kagisaki, Kenichi Kurosaki, Isao Shiraishi, Hajime Ichikawa
BACKGROUND: Although mitral valve repair is the preferred treatment for mitral regurgitation in neonates and infants, mitral valve replacement (MVR) is sometimes necessary. METHODS: From 1999 through 2013, 18 patients younger than 1 year underwent MVR with the smallest (16 mm) commercially available mechanical valve. At surgery, mean age was 4.0 ± 1.8 months (range, 4 days to 7 months), and mean body weight was 5.3 ± 1.6 kg (range, 3.2 to 8.3 kg). Prosthetic valves were implanted in the supra-annular position in 17 of the 18 patients...
February 2015: Annals of Thoracic Surgery
Augusto D'Onofrio, Michele Gallo, Giuseppe Tarantini, Umberto Cucchini, Demetrio Pittarello, Gino Gerosa
No abstract text is available yet for this article.
December 2014: JACC. Cardiovascular Interventions
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