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J Thorac Cardiovasc Surg 2005;129:227-228
© 2005 The American Association for Thoracic Surgery

Brief Communications

Donor mitral valve repair in cardiac transplantation

Pedro E. Antunes, David Prieto, Luís Eugénio, Manuel J. Antunes*

Centre of Cardiothoracic Surgery, University Hospital, Coimbra, Portugal

Received for publication March 19, 2004; accepted for publication April 6, 2004.

* Address for reprints: Manuel J. Antunes, Centro de Cirurgia Cardiotorácica, Hospitais da Universidade, 3049 Coimbra Codex, Portugal (E-mail: antunes.cct.huc@mail.telepac.pt).

The first 20% of the full text of this article appears below.


Dr M. J. Antunes


Cardiac transplantation has become a relatively common procedure, but its major limiting factor is still the shortage of donor hearts. The donor pool can potentially be increased by relaxing selection criteria or by performing innovative procedures on the donor heart, such as valve repair. We present a recent case of successful transplantation after mitral valve repair in a heart with moderate rheumatic valve disease.


   Clinical summary
 
A 52-year-old man with end-stage congestive heart failure caused by idiopathic dilated cardiomyopathy was evaluated and listed for cardiac transplantation. On January 18, 2004, a 35-year-old woman without a history of cardiac disease experienced brain death from a hemorrhagic cerebral accident and was selected as a multiorgan donor. The transthoracic echocardiogram showed evidence of mildly to moderately sclerotic leaflets with otherwise good motion and no evidence of stenosis (mitral valve area, 3.0 cm2) and mild mitral regurgitation. Regional and global myocardial contractility was . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Interact CardioVasc Thorac SurgHome page
D. L. Joyce, S. D. Russell, J. V. Conte, and S. M. Cattaneo
Aortic valve replacement in a diseased bicuspid valve eleven years after transplantation
Interact CardioVasc Thorac Surg, May 1, 2009; 8(5): 594 - 595.
[Abstract] [Full Text] [PDF]


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