Mechanical Valve Stuck in the Mitral Position in a Patient with Antiphospholipid Syndrome
Hiromitsu Takakura Tatsuumi Sasaki Kazuhiro Hashimoto
Takashi Hachiya Katsuhisa Onoguchi Motohiro Oshiumi
Shigeryuki Takeuchi

(Department of Cardiovascular Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan)

A 69-year-old woman, who had undergone mitral valve replacement, developed acute congestive heart failure and was transferred to our institution. Cineradiography demonstrated that two leaflets of the St. Jude Medical valve were stuck in a closed position. Emergency redo mitral valve replacement was performed with a CarboMedics valve. Postoperative hematological studies yielded a diagnosis of antiphospholipid syndrome. Although postoperative anticoagulant therapy was performed more carefully than usual, the prosthesis became stuck again. Therefore, a third operation was performed using a tissue prosthesis. We concluded that mitral valve plasty should be a first option for patients with antiphospholipid sysdrome undergoing mitral valve surgery. Should prosthetic valve replacement be required, a tissue prothesis world be best.
@Jpn. J. Cardiovasc. Surg. 29: 414-417(2000)