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Indian heart journal · Sep 2016
Case ReportsAcquired discrete subaortic stenosis late after mitral valve replacement.
- Jagdish C Mohan, Madhu Shukla, Vishwas Mohan, and Arvind Sethi.
- Fortis Institute of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, New Delhi 88, India. Electronic address: a51hauzkhas@gmail.com.
- Indian Heart J. 2016 Sep 1; 68 Suppl 2: S105-S109.
AbstractAlthough acquired left ventricular outflow obstruction has been reported in a variety of conditions, there are scant reports of its occurrence following mitral valve replacement (MVR). This study describes two female patients, who developed severe discrete subaortic stenosis, five years following MVR. In both cases, the mitral valve was replaced by a porcine Carpentier-Edwards 27-mm bioprosthesis with preservation of mitral valve leaflets. The risk of very late left ventricular outflow tract obstruction after bio-prosthetic MVR with preservation of subvalvular apparatus needs to be kept in mind in symptomatic patients.Copyright © 2016 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.
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