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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2003 February;44(1):59-60

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Mitral stenosis due to fibrous tissue overgrowth after mitral valve repair

Tanaka K., Makuuchi H., Naruse Y., Kobayashi T., Hayashi I., Takayama T., Namifusa Y.

Division of Cardiovascular Surgery Toranomon Hospital, Toranomon, Japan


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We ­report an ­extremely ­rare ­case of ­fibrous ­tissue over­growth 3 ­years ­after ­mitral ­valve ­repair ­using a ­mitral annu­lo­plasty ­ring in a 53-­year-old ­woman who under­went ­mitral ­valve replace­ment for ­mitral sten­osis. ­Whitish ­fibrous ­tissue had over­grown ­from the ­ring on the ­atrial ­side of the ­annulus, and had ­severely ­reduced the val­vular ­area. How­ever, the ­motion of the ­mitral leaf­lets was not ­restricted. Con­sid­ering the pres­ence of con­com­i­tant aor­titis syn­drome, it is ­strongly sug­gested ­that the over­growth of ­fibrous ­tissue was pro­moted as a reac­tion to ­chronic inflam­ma­tion.

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