{"title":"[Sudden Chest Pain due to Early Bioprosthetic Valve Dysfunction:Report of a Case].","authors":"Masato Yamakawa, Yukifusa Yokoyama, Masao Yamada, Shinichi Ashida, Hiroki Hasegawa, Jun Yokote","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>We report a case of bioprosthetic valve dysfunction and acute aortic valve regurgitation. The case was a 75-year-old female who had sudden onset chest pain. ST-segment depression in several leads on electrocardiogram( ECG) suggested acute coronary syndrome. Coronary angiography showed no significant stenosis in coronary arteries. Transesophageal echocardiography revealed severe aortic regurgitation, suggesting that angina was caused by myocardial ischemia associated with acute aortic regurgitation. She was diagnosed as having bioprosthetic valve dysfunction, and underwent redo aortic valve replacement. One leaflet of the bioprosthetic valve was torn along the stent post and caused bioprosthetic valve dysfunction. Failed bioprosthetic valve was removed and replaced by a mechanical valve.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kyobu geka. The Japanese journal of thoracic surgery","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
We report a case of bioprosthetic valve dysfunction and acute aortic valve regurgitation. The case was a 75-year-old female who had sudden onset chest pain. ST-segment depression in several leads on electrocardiogram( ECG) suggested acute coronary syndrome. Coronary angiography showed no significant stenosis in coronary arteries. Transesophageal echocardiography revealed severe aortic regurgitation, suggesting that angina was caused by myocardial ischemia associated with acute aortic regurgitation. She was diagnosed as having bioprosthetic valve dysfunction, and underwent redo aortic valve replacement. One leaflet of the bioprosthetic valve was torn along the stent post and caused bioprosthetic valve dysfunction. Failed bioprosthetic valve was removed and replaced by a mechanical valve.
我们报告了一例生物人工瓣膜功能障碍和急性主动脉瓣反流的病例。病例为一名 75 岁女性,突发胸痛。心电图上多个导联的 ST 段压低提示急性冠脉综合征。冠状动脉造影显示冠状动脉无明显狭窄。经食道超声心动图显示主动脉瓣严重反流,这表明心绞痛是由急性主动脉瓣反流导致的心肌缺血引起的。她被诊断为生物人工瓣膜功能障碍,并接受了主动脉瓣置换术。生物人工瓣膜的一片瓣叶沿着支架柱撕裂,导致生物人工瓣膜功能障碍。失败的生物人工瓣膜被移除,取而代之的是一个机械瓣膜。