It was reported that on (b)(6) 2009, a 19mm master's aortic mechanical heart valve and a 25mm masters mitral mechanical heart valve were successfully implanted.In (b)(6) 2022, the patient presented to the hospital with shortness of breath on exertion and fatigue.Since signs of heart failure were observed, the patient was managed with diuretics.In (b)(6) 2022, the patient visited the hospital again with elevated lactate dehydrogenase (ldh) of 1968 and hemolysis were confirmed.It was accompanied by anemia, and it was decided to perform a reoperation.Ultrasound showed paravalvular leak (pvl) in the mitral valve and 3.95 m/s in the aortic valve, indicating signs of aortic stenosis (as).On (b)(6) 2022, reoperation was performed and both the 19mm masters aortic valve and the 25mm masters mitral valve were explanted.No abnormalities were found in either valves.A new 19mm master's aortic mechanical heart valve and new 25mm masters mitral mechanical heart valve were implanted as replacements.Per the physician, the mitral valve had pvl and the aortic valve had as due to pannus; there was no problem with the valve itself.The patient was reported to be in stable condition.
|