European Journal of Echocardiography Advance Access published online on April 14, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen138
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Obstruction alternans of a Sorin tilting disc prosthetic mitral valve: a case of emergency action
1 Second Department of Cardiology, Attikon Hospital, School of Medicine, University of Athens, Athens, Greece
2 Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, University of Athens, Athens, Greece
Received 9 January 2008; .
* Corresponding author. Tel: +30 210 992 9106; fax: +30 210 5832351. E-mail address: rallidis{at}ath.forthnet.gr
| Abstract |
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We present a patient with a history of a Sorin tilting disc prosthetic mitral valve implanted 20 years ago who developed acute dyspnoea. Echocardiogram revealed a unique pattern of obstruction alternans of mitral valve prosthesis due to pannus formation. We emphasize the need for urgent surgical treatment of this potentially fatal complication.
Keywords: Mitral prosthesis; Tilting disc; Obstruction alternans