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Hemodynamic Improvement after Surgical Intervention for Pannus in Prosthetic Mitral Valve

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Author(s)
Kyungsub SongYun Seok KimWoo Sung Jang
Keimyung Author(s)
Song, Kyung SubKim, Yun SeokJang, Woo Sung
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Keimyung Med J
Issued Date
2024
Volume
43
Issue
1
Keyword
Cardiac surgical procedureMitral valves
Abstract
The indication of pannus removal in patients with mitral valve (MV) replacement has not been determined. In the present study, four patients underwent secondary open cardiac surgery for MV pannus removal concomitant with tricuspid annuloplasty. After the first open cardiac surgery, these patients presented with gradual elevation in the transmitral pressure gradient (TMPG) and pulmonary artery systolic pressure (PASP) with aggravation of tricuspid regurgitation related to pannus formation in the prosthetic MV. Notably, the function of the prosthetic valve was normal in all patients. We performed tricuspid annuloplasty concomitant with pannus removal in the prosthetic MV alone. Pannus in the prosthetic MV was successfully removed without valve replacement, and improvement was noted in hemodynamic parameters, including TMPG and PASP after the operation. Herein, we share our experience and opinions about pannus removal in the prosthetic MV concomitant with tricuspid valve surgery.
Keimyung Author(s)(Kor)
송경섭
김윤석
장우성
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2733-5380
Source
https://www.e-kmj.org/journal/view.php?number=2277
DOI
10.46308/kmj.2023.00038
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45416
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2024
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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