Sameer Mohammed¹*, Ashiq Nihamathullah¹, Ram Kumar S², Selvaraj Anbu1 and Bhavidra R³

¹Department of Cardiovascular and Thoracic Surgery, Dhanalakshmi Srinivasan Medical College, Perambalur, India
²Department of Cardiovascular Anaesthesia, Dhanalakshmi Srinivasan Medical College, Perambalur, India
³Department of Cardiology, Dhanalakshmi Srinivasan Medical College, Perambalur, India

*Corresponding Author: Sameer Mohammed, Assistant Professor, Department of Cardiovascular and Thoracic Surgery, Dhanalakshmi Srinivasan Medical College, Perambalur, India.

Received: September 14, 2023; Published: October 22, 2023

Abstract

Prosthesis-Patient mismatch (PPM) is a well-known complication following valve replacement surgery. Even though, various measures are taken to avoid PPM at operation, few patients may develop later in life due to normal growth, pannus development and prosthetic valve stenosis. We describe a young adult who underwent mitral and aortic valve replacement with 25 mm and 17 mm single tilting disc valve at the age of 11 with successful outcome. Seven years later, he developed PPM with increased gradients across the mitral and aortic valves (28/14 & 46/26 mm Hg). He was re-operated to replace mitral valve with 27 mm StJude Medical (SJM) Masters and aortic valve with 19 mm SJM Regent bi-leaflet mechanical valves. Post-operatively, there was significant improvement in symptom status, reduction in prosthetic valve gradients (mitral & aortic: 18/7 & 16/7 mm Hg), improvement in left ventricle dimensions and function (EF: <25% Vs 35%).

Keywords: Age Related Growth; Double Valve Replacement; Prosthesis-Patient Mismatch;; Left Ventricular Dysfunction

References

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Citation

Citation: Sameer Mohammed., et al. “Prosthesis-Patient Mismatch in Normal Functioning Valve – Scenario in a Growing Adult". Acta Scientific Clinical Case Reports 4.11 (2023): 27-29.

Copyright

Copyright: © 2023 Sameer Mohammed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.