ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Shinichi Takamoto
Yutaka Kotsuka
Toshiya Ohtsuka
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ninomiya, M.
Right arrow Articles by Ohtsuka, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ninomiya, M.
Right arrow Articles by Ohtsuka, T.
Related Collections
Right arrow Valve disease

Ann Thorac Surg 2003;75:584-586
© 2003 The Society of Thoracic Surgeons

Case report

Left atrial dissection after double valve replacement

Mikio Ninomiya, MD*a, Shinichi Takamoto, MDa, Yutaka Kotsuka, MDa, Toshiya Ohtsuka, MDa

a Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

Accepted for publication August 14, 2002.

* Address reprint requests to Dr Ninomiya, 6-15-13-902 Hon-Komagome, Bunkyo-ku, Tokyo 113-0021, Japan.
e-mail: mikio-ninomiya{at}par.odn.ne.jp

Left atrial dissection, a rare complication occurring mainly after mitral repair, is reported after double valve replacement in a patient with a connective tissue disease. A 63-year-old woman with systemic sclerosis underwent double valve replacement. Laceration of the tissue between the two mechanical prostheses and dissection of the left atrial wall emerged postoperatively and regurgitation through the dissection caused heart failure, which later improved without surgery. The possible causes of the dissection were thought to be shear forces against the tissue between the two prostheses and tissue fragility due to systemic sclerosis and corticosteroid therapy.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2003 by The Society of Thoracic Surgeons.