The article, "stuck leaflets in prosthetic heart valves with different etiology and treatments", was reviewed.The article presented a case study of a 74-year-old female patient with rheumatic heart valve disease.It was reported that on an unknown date in 1999, a 21mm unknown abbott/st jude aortic mechanical heart valve and 29mm unknown abbott/st jude mitral mechanical heart valve were chosen for concomitant aortic and mitral valve replacement procedure, respectively.It was then reported on an unknown date in 2018, the patient presented with dyspnea and decreased effort capacity.Transthoracic echocardiography (tte) showed increased aortic gradient of 88/55 mmhg.A transesophageal echocardiography (tee) could not confirm any thrombus in the aortic or mitral valves.It was noted the valve tissue was thickened around the aortic valve.The patient's international normalized ratio (inr) was within normal therapeutic range.A fluoroscopy revealed one of the aortic valve leaflets was stuck due to pannus overgrowth.Surgical intervention was recommended but the patient refused.A decision was made instead to closely monitor inr values and acetylsalicylic acid was added/administered.At a later unknown date during follow-up, the aortic gradient decreased to 57/34 mmhg in 3 years.Echocardiography and fluoroscopy revealed that the aortic valve leaflets' movements were nearly normal and unstuck.A cardiac computed tomography (ct) confirmed normal leaflet movements and pannus overgrowth.The article concluded that the stuck leaflet is a rare but potentially severe complication of prosthetic heart valve (phv).Tee, fluoroscopy, and cardiac ct are feasible and highly effective imaging modalities that can detect and make the differential diagnosis of etiology.Furthermore, the treatment might vary from medical follow-up to emergency surgery, depending on the etiological cause and the patient¿s clinical manifestation.[(b)(6)].
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As reported through a literature review on a case study of 74-year-old female patient with rheumatic heart valve disease.The patient presented with dyspnea and decreased effort capacity.Transthoracic echocardiography (tte) showed increased aortic gradient of 88/55 mmhg.A transesophageal echocardiography (tee) could not confirm any thrombus in the aortic or mitral valves.It was noted the valve tissue was thickened around the aortic valve.The patient's international normalized ratio (inr) was within normal therapeutic range.A fluoroscopy revealed one of the aortic valve leaflets was stuck due to pannus overgrowth.Later on, echocardiography and fluoroscopy revealed that the aortic valve leaflets' movements were nearly normal and unstuck.A cardiac computed tomography (ct) confirmed normal leaflet movements and pannus overgrowth.The article concluded that the stuck leaflet is a rare but potentially severe complication of prosthetic heart valve (phv).Tee, fluoroscopy, and cardiac ct are feasible and highly effective imaging modalities that can detect and make the differential diagnosis of etiology.Furthermore, the treatment might vary from medical follow-up to emergency surgery, depending on the etiological cause and the patient¿s clinical manifestation.A more comprehensive assessment could not be performed as the event was non-contemporaneously reported through a literature review and no device or individual patient information was received for analysis.Based on the information received, the cause of the reported device stenosis could not be conclusively determined.The reported leaflet was stuck due to pannus overgrowth and the reported pannus was due to patient conditions (rheumatic heart valve/pathophysiological mechanism).Literature attachment: article title: "stuck leaflets in prosthetic heart valves with different etiology and treatments".
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