Rapid Bioprosthetic Valve Degeneration in a Patient Undergoing Hemodialysis
Authors: Harvey S. Hahn, Seymour S. Maze
Journal: Annals of Internal Medicine (2000)

Letters16 May 2000Rapid Bioprosthetic Valve Degeneration in a Patient Undergoing HemodialysisHarvey S. Hahn, MD and Seymour S. Maze, MB, ChBHarvey S. Hahn, MDUniversity of Cincinnati; Cincinnati, OH 45267-0542 (Hahn)University of Cincinnati; Cincinnati, OH 45267-0542 (Maze)Search for more papers by this author and Seymour S. Maze, MB, ChBUniversity of Cincinnati; Cincinnati, OH 45267-0542 (Hahn)University of Cincinnati; Cincinnati, OH 45267-0542 (Maze)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-132-10-200005160-00033 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:A 76-year-old man who was undergoing hemodialysis had aortic valve replacement for calcific aortic stenosis. Stenosis was performed by using a 25-mm Carpentier–Edwards porcine valve. Heart failure recurred 20 months later. Cardiac catheterization confirmed significant prosthetic stenosis with a calculated aortic valve area of 0.6 cm2. There was no evidence of hyperparathyroidism. The patient underwent a second aortic valve replacement with a St. Jude mechanical valve. At surgery, the bioprosthetic valve was found to be heavily calcified, with fusion of the leaflets.Native cardiac calcification is a well-known consequence of chronic renal failure. Only two reports in ...References1. Lamberti JJ, Wainer BH, Fisher KA, Karunaratne HB, Al-Sadir J. Calcific stenosis of the porcine heterograft. Ann Thorac Surg. 1979;28:28-32. CrossrefMedlineGoogle Scholar2. Bradley JR, Williams PF, Evans DB. Aortic valve replacement in chronic renal failure [Letter]. Lancet. 1985;2:1370. CrossrefMedlineGoogle Scholar3. Task Force on Practice Guidelines (Committee on Management of Patients with Valvular Heart Disease). ACC/AHA guidelines for the management of patients with valvular heart disease. J Am Coll Cardiol. 1998;32:1486-588. CrossrefMedlineGoogle Scholar4. Lucke JC, Samy RN, Atkins BZ, Silverstry SC, Douglas JM, Schwab SJ, et al . Results of valve replacement with mechanical and biological prostheses in chronic renal dialysis patients. Ann Thorac Surg. 1997;64:129-33. CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Cincinnati; Cincinnati, OH 45267-0542 (Hahn)University of Cincinnati; Cincinnati, OH 45267-0542 (Maze) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCorrection: Bioprosthetic Valve Degeneration Metrics Cited ByAccelerated rate of progression of bioprosthetic aortic stenosis in patients with renal diseaseImpact of Chronic Kidney Disease on Outcomes in Transcatheter Aortic Valve ImplantationValve Selection for the Aortic Position in Dialysis PatientsAdvanced chronic kidney disease in patients undergoing transcatheter aortic valve implantation: insights on clinical outcomes and prognostic markers from a large cohort of patientsProsthetic Aortic Valve Stenosis in End-Stage Renal FailureCorrection: Bioprosthetic Valve Degeneration 16 May 2000Volume 132, Issue 10Page: 847KeywordsAortic valve replacementCardiovascular therapyHeart failureHemorrhageHyperparathyroidismMedical dialysisRenal failureStenosisStrokeSurgery Issue Published: 16 May 2000 CopyrightCopyright © 2000 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...