ABSTRACT
Iatrogenic aortic regurgitation secondary to leaflet injury is a rare complication of mitral valve surgery. For the first time, we report a patient who had progressive aortic regurgitation due to non-coronary leaflet perforation after robotic mitral valve repair and required aortic valve repair 18 months after this initial surgery. As in our case, aortic regurgitation after mitral valve surgery may remain undiagnosed on intraoperative transesophageal echocardiography or undetected until the patient's discharge due to gradual enlargement of very small perforations over the postoperative course.
Subject(s)
Aortic Valve Insufficiency , Echocardiography, Transesophageal , Iatrogenic Disease , Mitral Valve Insufficiency , Mitral Valve , Robotic Surgical Procedures , Humans , Mitral Valve/surgery , Robotic Surgical Procedures/adverse effects , Mitral Valve Insufficiency/surgery , Aortic Valve Insufficiency/surgery , Aortic Valve Insufficiency/etiology , Male , Postoperative Complications/etiology , Postoperative Complications/surgery , Heart Valve Prosthesis Implantation/adverse effects , FemaleABSTRACT
Fibrosing mediastinitis can lead to superior vena cava obstruction by generating a fibroinflammatory mass in the mediastinum. Surgical caval reconstruction with conduits could be indicated for cases of unsuccessful or technically unfeasible endovascular stenting and angioplasty. The use of cryopreserved vascular homografts seems to be better than prosthetic conduits for mid- and long-term patency, as was observed in the case we have described in the present report.
