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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1997-2-7
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pubmed:abstractText |
A case of mitral stenosis following mitral valve replacement in a patient with endocardial fibroelastosis is reported. A 14-year-old boy presented with cardiac failure. He had been diagnosed as having endocardial fibroelastosis at the age of 7 months and had undergone resection of endocardial fibrous tissue in the left ventricle at that time. Five years later his mitral valve was resected owing to mitral stenosis, with Bjork-Shiley valve replacement. Cross-sectional echocardiography on this admission showed restrictive left ventricular inflow due to a thickened immobile prosthetic valve with severely dyskinetic left ventricle (ejection fraction 8%). The electrocardiogram showed atrioventricular reentry tachycardia. Despite direct current cardioversion and continual amiodarone infusion he suffered a cardiac arrest and died 12 days after admission. Postmortem examination showed left ventricular endocardial fibroelastosis with severe inflow obstruction due to the formation of a complete fibrous ring of pannus/fibrosis around the prosthetic margin on the ventricular aspect of the left ventricle. This complication has not previously been described in children after mitral valve replacement.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0172-0643
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
257-9
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pubmed:dateRevised |
2008-2-20
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pubmed:meshHeading |
pubmed-meshheading:8662041-Adolescent,
pubmed-meshheading:8662041-Echocardiography,
pubmed-meshheading:8662041-Endocardial Fibroelastosis,
pubmed-meshheading:8662041-Fatal Outcome,
pubmed-meshheading:8662041-Heart Valve Prosthesis,
pubmed-meshheading:8662041-Humans,
pubmed-meshheading:8662041-Male,
pubmed-meshheading:8662041-Mitral Valve,
pubmed-meshheading:8662041-Mitral Valve Stenosis,
pubmed-meshheading:8662041-Postoperative Complications,
pubmed-meshheading:8662041-Time Factors,
pubmed-meshheading:8662041-Ventricular Outflow Obstruction
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pubmed:articleTitle |
Left ventricular pannus causing inflow obstruction late after mitral valve replacement for endocardial fibroelastosis.
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pubmed:affiliation |
Department of Pediatric Cardiology, Royal Brompton National Heart and Lung Hospital, London, UK.
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pubmed:publicationType |
Journal Article,
Case Reports
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