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Eur J Cardiothorac Surg 2004;25:642
© 2004 Elsevier Science NL


Images in cardio-thoracic surgery

Late dehiscence of a mitral annuloplasty band in an asymptomatic patient: the value of follow-up with echocardiography

Christos Alexioua*, George Doukasa, Justiaan Swanevelderb, Andrzej Sosnowskia

a Department of Cardiac Surgery, Glenfield General Hospital, Groby Rd, Leicester LE3 9QP, UK
b Department of Cardiac Anaesthesia, Glenfield General Hospital, Groby Rd, Leicester LE3 9QP, UK

Received 3 December 2003; accepted 2 January 2004.

* Corresponding author. Tel.: +44-116-287-1471; fax: +44-116-232-1282
e-mail: alexiou486{at}aol.com

Key Words: Annuloplasty band dehiscence • Echocardiography

A 49-year-old male had mitral annuloplasty with a Cosgrove–Edwards band. Twelve months later he was asymptomatic, but transthoracic and transoesophageal echocardiograms showed dehiscence of the annuloplasty band. He underwent an uneventful mitral valve replacement. This case demonstrates the value of long-term echocardiographical follow-up of cardiac valvular prostheses irrespective of the patient's symptomatic status (Fig. 1) .



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Fig. 1. Transoesophageal echocardiogram showing the dehisced annuloplasty band moving within the left atrium.

 




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