Heart Transplantation in a Patient With Rheumatic Heart Disease and Severe Left Atrial Calcification
Publication Date
5-7-2024
Journal
The Texas Heart Institute Journal
DOI
10.14503/THIJ-23-8286
PMID
38711341
Publication Date(s)
January-June, 2024
Language
English
PMCID
PMC11075517
PubMedCentral® Posted Date
5-7-2024
PubMedCentral® Full Text Version
Post Print
Published Open-Access
yes
Keywords
Humans, Female, Rheumatic Heart Disease, Heart Transplantation, Middle Aged, Calcinosis, Heart Atria, Heart Failure, Tomography, X-Ray Computed, Severity of Illness Index, Treatment Outcome, Heart Valve Prosthesis Implantation, Pericardium
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
A 62-year-old woman who had undergone mitral valve replacement 24 years ago was admitted to the hospital with congestive heart failure. She needed heart transplantation for stage D heart failure. Preoperative cardiac computed tomographic scans showed a severely calcified left atrium and a large right atrium. Given that the left atrium's calcification was too severe to suture, the calcified left atrial wall was broadly resected, and the resected left atrial wall was reconstructed with a bovine pericardial patch for anastomosis with the donor's left atrial wall. The operation was completed without heavy bleeding, and the patient was discharged from the hospital with no complications.