A Case of Rheumatic Tricuspid Stenosis 22 Years after Initial Mitral Valve Replacement
Yasuyuki Kato
Fumitaka Isobe
Sakashi Noji
Yasuyuki Sasaki
Kojiro Kodera
Takumi Ishikawa
Yoshiei Shimamura
Hiroshi Kumano
Keima Nagamachi
Masahiro Daimon
(Department of Cardiovascular Surgey, Osaka National Hospital, Osaka, Japan)
Rheumatic tricuspid stenosis has become rare recently. A 54-year-old woman
had undergone mitral valve replacement with a Carpentier-Edwards bioprosthesis
for mitral stenodis 22 years previously and had undergone repeat mitral
valve replacement for prosthetic valve failure 10 years later. She was
admitted with sever leg edema. Cardiac catheterization revealed pulmonary
hypertension and tricuspid stenosis with a diastolic pressure grandient
of 6 mmHg across the tricuspid valve. Tricuspid valve replacement was performed
with a Hancock bioprosthesis. The postoperative course was uneventful and
her edema improved markedly. This case suggested that careful follow-up
to detect progression of tricuspid stenosis is necessary in patients with
rheumatic valve disease and pulmonary hypertension.
Jpn. J. Cardiovasc. Surg. 29: 378-381 (2000)
