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Ann Thorac Surg 2003;75:1631-1633
© 2003 The Society of Thoracic Surgeons

Case report

Detection of pannus by multidetector-row computed tomography

Hideki Teshima, MDa*, Nobuhiko Hayashida, MDa, Naofumi Enomoto, MDa, Shigeaki Aoyagi, MDa, Koji Okuda, MDa, Masafumi Uchida, MDb

a Department of Surgery, Kurume University, School of Medicine, Kurume, Japan,
b department of Radiology, Kurume University, School of Medicine, Kurume, Japan

Accepted for publication October 21, 2002.

* Address reprint requests to Dr Teshima, Department of Surgery, Kurume University, School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan
e-mail: tesshi{at}med.kurume-u.ac.jp

Prosthetic valve dysfunction (PVD) due to pannus formation is an infrequent but serious complication. A 72-year-old man who underwent aortic valve replacement was diagnosed with PVD and aneurysm of the Sinus of Valsalva. Multidetector-row computed tomography (MDCT) was used to examine the cause of PVD before reoperation. MDCT demonstrated that tissue regarded as pannus extended from the left ventricular septum into the pivot guard. These findings were confirmed by observations during reoperation. MDCT can be a useful diagnostic technique for the anatomical and functional evaluation of PVD.




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 J. Thorac. Cardiovasc. Surg.Home page
H. Teshima, N. Hayashida, and S. Aoyagi
Reply to the Editor
J. Thorac. Cardiovasc. Surg., June 1, 2004; 127(6): 1851 - 1852.
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