Surgical Reintervention for Complex, Multivalvular Rheumatic Heart Disease.

ABSTRACT:

Background

Multivalve intervention carries elevated risk, particularly after prior valve surgeries.

Case summary

A 52-year-old woman with rheumatic heart disease presented with progressive dyspnea. Multimodality imaging revealed severe bioprosthetic aortic valve regurgitation, severe bioprosthetic mitral valve stenosis, and severe tricuspid valve regurgitation. Although she was at increased surgical risk, the small size of her aortic valve prosthesis limited transcatheter options. She elected to undergo cardiac surgery, which included bioprosthetic Bentall and Commando procedures as well as tricuspid valve repair. Postoperative course was complicated by right ventricular dysfunction with prolonged hospitalization; however, she recovered and was discharged home.

Discussion

SUBMITTER: Khan KR 

PROVIDER: S-EPMC12789743 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature