Title |
Mitral valve repair and redo repair for mitral regurgitation in a heart transplant recipient
|
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Published in |
Journal of Cardiothoracic Surgery, September 2012
|
DOI | 10.1186/1749-8090-7-100 |
Pubmed ID | |
Authors |
Wobbe Bouma, Johan Brügemann, Inez J Wijdh-den Hamer, Theo J Klinkenberg, Bart M Koene, Michiel Kuijpers, Michiel E Erasmus, Iwan CC van der Horst, Massimo A Mariani |
Abstract |
A 37-year-old man with end-stage idiopathic dilated cardiomyopathy underwent an orthotopic heart transplant followed by a reoperation with mitral annuloplasty for severe mitral regurgitation. Shortly thereafter, he developed severe tricuspid regurgitation and severe recurrent mitral regurgitation due to annuloplasty ring dehiscence. The dehisced annuloplasty ring was refixated, followed by tricuspid annuloplasty through a right anterolateral thoracotomy. After four years of follow-up, there are no signs of recurrent mitral or tricupid regurgitation and the patient remains in NYHA class II. Pushing the envelope on conventional surgical procedures in marginal donor hearts (both before and after transplantation) may not only improve the patient's functional status and reduce the need for retransplantation, but it may ultimately alleviate the chronic shortage of donor hearts. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Netherlands | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 13 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Postgraduate | 3 | 23% |
Student > Doctoral Student | 2 | 15% |
Researcher | 2 | 15% |
Librarian | 1 | 8% |
Student > Ph. D. Student | 1 | 8% |
Other | 3 | 23% |
Unknown | 1 | 8% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 9 | 69% |
Sports and Recreations | 1 | 8% |
Unspecified | 1 | 8% |
Unknown | 2 | 15% |