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Ann Thorac Surg 2009;88:996-998. doi:10.1016/j.athoracsur.2009.01.038
© 2009 The Society of Thoracic Surgeons
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Case Reports

Recurrent Pulmonary Edema in a Patient With a Prosthetic Mitral Valve

Joris Schurmans, MDa,*, Bert Ferdinande, MDa, Siegmund Keuleers, MDa, Paul Herijgers, MD, PhDb, Werner Budts, MD, PhDa

a Department of Cardiology, University Hospitals Leuven, Leuven, Belgium
b Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium

Accepted for publication January 13, 2009.

* Address correspondence to Dr Schurmans, Department of Cardiology, University Hospitals Leuven, Herestraat, Leuven, 49 B-3000, Belgium (Email: joris.schurmans{at}uz.kuleuven.ac.be).

Prosthetic heart valve obstruction is a severe and potentially fatal complication. We present a patient with a Bjork-Shiley prosthetic mitral and aortic valve implantation and recurrent pulmonary edema. Echocardiogram showed a rate-dependent "obstruction alternans" of the prosthetic mitral valve due to pannus formation.






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