Detachment of the mitral anterior leaflet as a complication of aortic valve replacement

Islamoglu F., Apaydin A., Degirmenciler K., Gurgun C. , Durmaz I.

TEXAS HEART INSTITUTE JOURNAL, cilt.33, ss.54-56, 2006 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 33 Konu: 1
  • Basım Tarihi: 2006
  • Sayfa Sayıları: ss.54-56


Mitral regurgitation after aortic valve replacement is generally reported as a complication of a Manouguians procedure for annulus enlargement. However even if no annular enlargement procedure is performed, this complication may be encountered after isolated aortic valve replacement because of either extensive decalcification of the aortic annulus or progressive tension on the anterior leaflet of the mitral valve, caused by aortic valve sutures placed adjacent to firm or heavily calcified valve tissue. Routine transthoracic echocardiography may be inadequate for diagnosis of this condition; transesophageal echocardiography should be used both for preoperative diagnosis and for intraoperative management. We report the case of a patient who had severe mitral regurgitation that occurred after aortic valve replacement with a mechanical valve.