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Ann Thorac Surg 1995;60:1803-1805
© 1995 The Society of Thoracic Surgeons

Articles

Systemic lupus erythematosus valvulitis: Mitral valve replacement with a homograft

MD Sylvain M. Chauvaud*, MD Afkendiyos Kalangos, MD Alain J. Berrebi, FRCS(Ed) Jullien A.R. Gaer, MD Christophe Acar, MD, PhD Alain F. Carpentier

Department of Cardiovascular Surgery, Hôpital Broussais, Paris, France

Accepted for publication June 19, 1995.

* Address reprint requests to Dr Chauvaud, Service de Chirurgie Cardiovasculaire, Hôpital Broussais, 96 rue Didot, 75014 Paris, France.

For many years, valvulitis in systemic lupus erythematosus has been known to occur. Our patient was a 17-year-old girl who presented with severe mitral incompetence and renal insufficiency due to lupus valvulitis. The patient was first treated by mitral valve repair, but follow-up disclosed precocious calcification of the valve, necessitating mitral valve replacement with a cryopreserved homograft. At follow-up after 1 year, echocardiography has shown the valve to be functioning normally. A reconstructive mitral valve operation would seem to be preferable. However, a conservative operation does not alter the natural history of the disease and the progression of valve thickening and calcification.




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