Late entrapment of ball and cage valve in mitral position.

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Date
2006
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Asian cardiovascular & thoracic annals
Abstract
A 32-year-old female underwent mitral valve replacement with total chordal preservation (Miki's technique) using 26 mm (1M) Starr-Edward prosthesis (SEP) in 1988. The patient was in NYHA class-I until 2001. She progressed to NYHA class-III with paroxysmal nocturnal dyspnoea. Transthoracic echocardiogram showed increased prosthetic valve gradient, and cardiac catheterization confirmed the findings. Intraoperatively, the poppet movement in the cage was found to be restricted due to the preserved subvalvular apparatus entrapping the poppet inside the prosthetic valve cage.
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Keywords
Cardiovascular and Thoracic Surgery
Citation
Asian cardiovascular & thoracic annals. 14; 1; e1-3
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