MİTRAL KAPAK REPLASMANI SONRASI GELİŞEN ENDER YERLEŞİMLİ PERİPROSTETİK KAÇAK: Olgu Sunumu

Year 2004, Volume: 5 Issue: 3, 0 - 0, 01.12.2004

M. İsmail Badak Uğur Gürcün Mehmet Boğa Erdem Ali Özkısacık

Abstract

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

Keywords

Mitral paravalvüler kaçak

A Relatively Rare Site of Periprosthetic Leak Following Mitral Valve Replacement: Case Report

Abstract

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.

Keywords

Mitral paravalvular leak

References

• 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.