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Ann Thorac Surg 2009;87:321. doi:10.1016/j.athoracsur.2008.04.061
© 2009 The Society of Thoracic Surgeons
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Javier G. Castillo
Farzan Filsoufi
Parwis B. Rahmanian
David H. Adams
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Right arrow Valve disease

Images in Cardiothoracic Surgery

Early Bioprosthetic Valve Deterioration After Carcinoid Plaque Deposition

Javier G. Castillo, MDa, Farzan Filsoufi, MDa, Parwis B. Rahmanian, MDa, Jerome S. Zacks, MDb, Richard R.P. Warner, MDc, David H. Adams, MDa,*

a Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, New York
b Department of Clinical Cardiology, Mount Sinai School of Medicine, New York, New York
c Division of Gastroenterology, Mount Sinai School of Medicine, New York, New York

* Address correspondence to Dr Adams, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190 Fifth Ave, Box 1028, New York, NY 10029 (Email: david.adams@mountsinai.org).

A 47-year-old man with carcinoid heart disease underwent tricuspid and pulmonary bioprosthetic valve replacement, as well as mitral and aortic valve repair. Following this procedure, the patient underwent resection of the primary carcinoid tumor located in the mid-ileum and concomitant left liver lobectomy. Within 25 months, both bioprostheses developed structural valve deterioration with mixed regurgitation and stenosis.

The patient . . . [Full Text of this Article]






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