Pannus Formation Leads to Valve Malfunction in the Tricuspid Position 19 Years after Triple Valve Replacement

Authors

  • Ebraham Alskaf Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes
  • Hannah McConkey Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes
  • Nabila Laskar Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes
  • Attila Kardos Department of Cardiology, Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes

DOI:

https://doi.org/10.1532/hsf.1513

Abstract

The Medtronic ATS Open Pivot mechanical valve has been successfully used in heart valve surgery for more than two decades. We present the case of a patient who, 19 years following a tricuspid valve replacement with an ATS prosthesis as part of a triple valve operation following infective endocarditis, developed severe tricuspid regurgitation due to pannus formation.

References

Barbetseas J, Nagueh SF, Pitsavos C, Toutouzas PK, Quiñones MA, Zoghbi WA. 1998. Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves. J Am Coll Cardiol 32:1410-7.

Biteker M, Gündüz S, Özkan M. 2009. Role of MDCT in the Evaluation of Prosthetic Heart Valves. Am J Roentgenology 192:W77–7.

Deviri E, Sareli P, Wisenbaugh T. 1991. Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management. J Am Coll Cardiol 17:646-50.

Emery RW, Krogh CC, Jones DJ, Nicoloff DM, Blake DP, Arom KV. 2004. Five-year follow up of the ATS mechanical heart valve. J Heart Valve Dis 13:231-8.

Rizzoli G, Vendramin I, Nesseris G, Bottio T, Guglielmi C, Schiavon L. 2004. Biological or mechanical prostheses in tricuspid position? A meta-analysis of intra-institutional results. Ann Thorac Surg 77:1607-14.

Published

2016-06-20

How to Cite

Alskaf, E., McConkey, H., Laskar, N., & Kardos, A. (2016). Pannus Formation Leads to Valve Malfunction in the Tricuspid Position 19 Years after Triple Valve Replacement. The Heart Surgery Forum, 19(3), E116-E117. https://doi.org/10.1532/hsf.1513

Issue

Section

Article