Heart Transplantation in a Patient With Rheumatic Heart Disease and Severe Left Atrial Calcification

A 62-year-old woman who had undergone mitral valve replacement 24 years ago was admitted to the hospital with congestive heart failure. She needed heart transplantation for stage D heart failure. Preoperative cardiac computed tomographic scans showed a severely calcified left atrium and a large righ...

Full description

Saved in:
Bibliographic Details
Published in:Texas Heart Institute journal 2024-05, Vol.51 (1), p.1-4
Main Authors: Song, Kyungsub, Lee, Seonhwa, Kim, Yun Seok
Format: Article
Language:English
Subjects:
Calcinosis - complications
Calcinosis - diagnosis
Calcinosis - surgery
Case Reports
Female
Heart Atria - diagnostic imaging
Heart Atria - surgery
Heart Failure - diagnosis
Heart Failure - etiology
Heart Failure - surgery
heart transplantation
Heart Transplantation - methods
Heart Valve Prosthesis Implantation - methods
Humans
Middle Aged
Pericardium - surgery
Pericardium - transplantation
rheumatic heart disease
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - diagnosis
Rheumatic Heart Disease - surgery
Severity of Illness Index
shock, cardiogenic
Tomography, X-Ray Computed
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 62-year-old woman who had undergone mitral valve replacement 24 years ago was admitted to the hospital with congestive heart failure. She needed heart transplantation for stage D heart failure. Preoperative cardiac computed tomographic scans showed a severely calcified left atrium and a large right atrium. Given that the left atrium's calcification was too severe to suture, the calcified left atrial wall was broadly resected, and the resected left atrial wall was reconstructed with a bovine pericardial patch for anastomosis with the donor's left atrial wall. The operation was completed without heavy bleeding, and the patient was discharged from the hospital with no complications.
ISSN:0730-2347
1526-6702
1526-6702
DOI:10.14503/THIJ-23-8286