|Author||Akbari, J. G. ♦ Varma, P. K. ♦ Gadhinglajkar, S. ♦ Neelakandhan, K. S.|
|Source||Sree Chitra Tirunal Institute for Medical Sciences & Technology|
|Publisher||Asian Cardiovascular & Thoracic Annals|
|Subject Domain (in DDC)||Technology ♦ Medicine & health ♦ Diseases ♦ Surgery & related medical specialties|
|Subject Domain (in MeSH)||Cardiovascular Diseases ♦ Diseases ♦ Surgical Procedures, Operative ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment|
|Subject Keyword||Cardiovascular and Thoracic Surgery|
|Abstract||A 32-year-old female underwent mitral valve replacement with total chordal preservation (Miki's technique) using 26 mm (1M) Starr-Edward prosthesis (SEP) in 1988. The patient was in NYHA class-I until 2001. She progressed to NYHA class-III with paroxysmal nocturnal dyspnoea. Transthoracic echocardiogram showed increased prosthetic valve gradient, and cardiac catheterization confirmed the findings. Intraoperatively, the poppet movement in the cage was found to be restricted due to the preserved subvalvular apparatus entrapping the poppet inside the prosthetic valve cage.|
|Education Level||UG and PG|
|Learning Resource Type||Article|
|Educational Framework||Medical Council of India (MCI)|
|Journal||Asian cardiovascular & thoracic annals|
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