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Vol 61, No 7 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28
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Plethysmographic assessment of pulse wave may be helpful in the detection of prosthetic valve dysfunction - a case report

Anna Konopka, Magda Kumor, Tomasz Szajewski, Marek Szufladowicz, Marek Konka, Dariusz Zakrzewski, Janina Stępińska
Kardiol Pol 2004;61(7):53-55.
Vol 61, No 7 (2004)
Other
Published online: 2005-12-12
Submitted: 2012-12-28

Abstract

Abstract: A case of a 63-year-old female with prosthetic mitral and aortic valves is described. The long-term post-operative period was complicated by infective endocarditis, persistent atrial fibrillation requiring pacemaker implantation and total a-v node ablation as well as ischaemic stroke which occurred one year before present hospitalisation. This time the patient was admitted to the hospital due to progressive heart failure. Transesophageal echocardiography showed a cyclic intermittent opening of both prosthetic valves full opening was present during every second cardiac cycle. The same phenomenon was documented using plethysmographic recording of a pulse wave from a finger. The patient underwent prosthetic valve replacement. Intraoperatively, a fibrous tissue ingrowth was detected.

Abstract

Abstract: A case of a 63-year-old female with prosthetic mitral and aortic valves is described. The long-term post-operative period was complicated by infective endocarditis, persistent atrial fibrillation requiring pacemaker implantation and total a-v node ablation as well as ischaemic stroke which occurred one year before present hospitalisation. This time the patient was admitted to the hospital due to progressive heart failure. Transesophageal echocardiography showed a cyclic intermittent opening of both prosthetic valves full opening was present during every second cardiac cycle. The same phenomenon was documented using plethysmographic recording of a pulse wave from a finger. The patient underwent prosthetic valve replacement. Intraoperatively, a fibrous tissue ingrowth was detected.
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Keywords

prosthetic valve dysfunction - plethysmography - pulse wave

About this article
Title

Plethysmographic assessment of pulse wave may be helpful in the detection of prosthetic valve dysfunction - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 61, No 7 (2004)

Pages

53-55

Published online

2005-12-12

Bibliographic record

Kardiol Pol 2004;61(7):53-55.

Keywords

prosthetic valve dysfunction - plethysmography - pulse wave

Authors

Anna Konopka
Magda Kumor
Tomasz Szajewski
Marek Szufladowicz
Marek Konka
Dariusz Zakrzewski
Janina Stępińska

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