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Coming undone: a case of annuloplasty ring suture degeneration post mitral valve repair leading to recurrent severe MR

Echo Research & Practice volume 7, pages K7–K10 (2020)Cite this article

Summary

Mitral valve repair is the gold standard treatment for degenerative mitral valve disease with superior perioperative and long-term morbidity and mortality outcomes vs mitral valve replacement. The 10 year survival freedom from redo valve repair varies from 72 to 90%. Often, failure of valve repair necessitating redo surgery is directly related to disease progression; however, rarely it can be attributed to technical complications such as annuloplasty dehiscence, leaflet suture rupture, incorrect artificial chord length or incorrect annuloplasty position. We report one such case of severe mitral regurgitation secondary to a degenerative annuloplasty ring suture occurring 1 year post valve repair.

References

  1. Dumont E, Gillinov AM, Blackstone EH, Sabik III JF, Svensson LG, Mihaljevic T, Houghtaling PL, Lytle BW. Reoperation after mitral valve repair for degenerative disease. Annals of Thoracic Surgery 2007 84 444–450; discussion 450. (https://doiorg.publicaciones.saludcastillayleon.es/10.1016/j.athoracsur.2007.03.078)

    Article  Google Scholar 

  2. Spoon JN, Nkomo VT, Suri RM, Pislaru SV, Spoon DB, Michelena HI, Sarano ME, Malouf JF. Mechanisms of mitral valve dysfunction following mitral valve repair for degenerative disease. JACC: Cardiovascular Imaging 2015 8 1223–1227. (https://doiorg.publicaciones.saludcastillayleon.es/10.1016/j.jcmg.2014.10.020)

    PubMed  Google Scholar 

  3. Suri RM, Schaff HV, Dearani JA, Sundt III TM, Daly RC, Mullany CJ, Enriquez-Sarano M, Orszulak TA. Recurrent mitral regurgitation after repair: should the mitral valve be re-repaired? Journal of Thoracic and Cardiovascular Surgery 2006 132 1396–1397. (https://doiorg.publicaciones.saludcastillayleon.es/10.1016/j.jtcvs.2006.07.018)

    Article  Google Scholar 

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This work did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.

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Authors and Affiliations

  1. Southern Health & Social Care Trust, Craigavon Area Hospital, London, UK

    Patrick Savage MB BCh BAO BSc MRCP & Michael Connolly MRCP MD

Authors
  1. Patrick Savage MB BCh BAO BSc MRCP
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  2. Michael Connolly MRCP MD
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Correspondence to Patrick Savage MB BCh BAO BSc MRCP.

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Savage, P., Connolly, M. Coming undone: a case of annuloplasty ring suture degeneration post mitral valve repair leading to recurrent severe MR. Echo Res Pract 7, K7–K10 (2020). https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-19-0058

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  • DOI: https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-19-0058

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Echo Research & Practice

ISSN: 2055-0464

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