Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus
Joint Authors
Moskovits, Manfred
Sadiq, Adnan
Shani, Jacob
Wartak, Siddharth
Akkad, Isaac
Crooke, Gregory
Frankel, Robert
Hollander, Gerald
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 23-year-old African American woman with a past medical history of systemic lupus erythematous (SLE), secondary hypertension, and end stage renal disease (ESRD) on hemodialysis for eight years was stable until she developed symptomatic severe mitral regurgitation with preserved ejection fraction.
She underwent a bioprosthetic mitral valve replacement (MVR) at outside hospital.
However, within a year of her surgery, she presented to our hospital with NYHA class IV symptoms.
She was treated for heart failure but in view of her persistent symptoms and low EF was considered for heart and kidney transplant.
This was a challenge in view of her history of lupus.
We presumed that her stenosis of bioprosthetic valve was secondary to lupus and renal disease.
We hypothesized that her low ejection fraction was secondary to mitral stenosis and potentially reversible.
We performed a dobutamine stress echocardiogram, which revealed an improved ejection fraction to more than 50% and confirmed preserved inotropic contractile reserve of her myocardium.
Based on this finding, she underwent a metallic mitral valve and tricuspid valve replacement.
Following surgery, her symptoms completely resolved.
This case highlights the pathophysiology of lupus causing stenosis of prosthetic valves and low ejection cardiomyopathy.
American Psychological Association (APA)
Wartak, Siddharth& Akkad, Isaac& Sadiq, Adnan& Crooke, Gregory& Moskovits, Manfred& Frankel, Robert…[et al.]. 2016. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
Modern Language Association (MLA)
Wartak, Siddharth…[et al.]. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology No. 2016 (2016), pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
American Medical Association (AMA)
Wartak, Siddharth& Akkad, Isaac& Sadiq, Adnan& Crooke, Gregory& Moskovits, Manfred& Frankel, Robert…[et al.]. Severe Bioprosthetic Mitral Valve Stenosis and Heart Failure in a Young Woman with Systemic Lupus Erythematosus. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-3.
https://search.emarefa.net/detail/BIM-1100315
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100315