Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy

Abstract Background Patients who survive long after pneumonectomy may develop heart valve disease. The consecutive operations can be complex because of the challenging anatomical conditions and the limited physiologic reserves of the patient. Case Presentation The subject i...

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Main Authors: Hartwig H. C. von Oehsen, Benjamin A. Högerle, Christian Giebels, Hans-Joachim Schäfers
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2019-01-01
Series:The Thoracic & Cardiovascular Surgeon Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688805
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author Hartwig H. C. von Oehsen
Benjamin A. Högerle
Christian Giebels
Hans-Joachim Schäfers
author_facet Hartwig H. C. von Oehsen
Benjamin A. Högerle
Christian Giebels
Hans-Joachim Schäfers
author_sort Hartwig H. C. von Oehsen
collection DOAJ
description Abstract Background Patients who survive long after pneumonectomy may develop heart valve disease. The consecutive operations can be complex because of the challenging anatomical conditions and the limited physiologic reserves of the patient. Case Presentation The subject is a 78-year-old patient who underwent a left-sided pneumonectomy for a metastasized testicular tumor 50 years ago. At 32 and 37 years postpneumonectomy, mitral regurgitation was manifested, and valve repair was performed. Bioprosthetic mitral valve replacement and tricuspid valve reconstruction became necessary 44 years postpneumonectomy. The patient was fully recovered. Conclusion In case of relevant heart valve disease after pneumonectomies, heart valve surgeries are feasible.
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spelling doaj.art-5b5e28f61fd34206a68e9268bb6ec1ec2022-12-22T02:44:00ZengGeorg Thieme Verlag KGThe Thoracic & Cardiovascular Surgeon Reports2194-76352194-76432019-01-010801e14e1710.1055/s-0039-1688805Mitral Valve Surgery in a Patient 50 Years after a PneumonectomyHartwig H. C. von Oehsen0Benjamin A. Högerle1Christian Giebels2Hans-Joachim Schäfers3Department of Public Health, Saarlouis Municipal Council, Saarland, GermanyDepartment of Thoracic Surgery, Thoraxklinik at Heidelberg University Hospital, Heidelberg, GermanyDepartment of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Faculty of Medicine, Saarland University, Homburg, Saarland, GermanyDepartment of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Faculty of Medicine, Saarland University, Homburg, Saarland, GermanyAbstract Background Patients who survive long after pneumonectomy may develop heart valve disease. The consecutive operations can be complex because of the challenging anatomical conditions and the limited physiologic reserves of the patient. Case Presentation The subject is a 78-year-old patient who underwent a left-sided pneumonectomy for a metastasized testicular tumor 50 years ago. At 32 and 37 years postpneumonectomy, mitral regurgitation was manifested, and valve repair was performed. Bioprosthetic mitral valve replacement and tricuspid valve reconstruction became necessary 44 years postpneumonectomy. The patient was fully recovered. Conclusion In case of relevant heart valve disease after pneumonectomies, heart valve surgeries are feasible.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688805heart failuremitral valve surgerythoracic surgery
spellingShingle Hartwig H. C. von Oehsen
Benjamin A. Högerle
Christian Giebels
Hans-Joachim Schäfers
Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
The Thoracic & Cardiovascular Surgeon Reports
heart failure
mitral valve surgery
thoracic surgery
title Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
title_full Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
title_fullStr Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
title_full_unstemmed Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
title_short Mitral Valve Surgery in a Patient 50 Years after a Pneumonectomy
title_sort mitral valve surgery in a patient 50 years after a pneumonectomy
topic heart failure
mitral valve surgery
thoracic surgery
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1688805
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AT benjaminahogerle mitralvalvesurgeryinapatient50yearsafterapneumonectomy
AT christiangiebels mitralvalvesurgeryinapatient50yearsafterapneumonectomy
AT hansjoachimschafers mitralvalvesurgeryinapatient50yearsafterapneumonectomy