A Second Mitral Valve Replacement in a Patient With Hereditary Hemorrhagic Telangiectasia (Osler's Disease)

Susumu Ishikawa; Kiyohiro Oshima; Masahiro Aizaki; Toru Takahashi; Yutaka Hasegawa; Yasuo Morishita

doi:10.1536/jhj.45.885

Case Reports

A Second Mitral Valve Replacement in a Patient With Hereditary Hemorrhagic Telangiectasia (Osler's Disease)

Susumu Ishikawa, Kiyohiro Oshima, Masahiro Aizaki, Toru Takahashi, Yutaka Hasegawa, Yasuo Morishita

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Keywords: Mitral valve replacement, Hereditary hemorrhagic telangiectasia, Osler's disease, Redo surgery

JOURNAL FREE ACCESS

2004 Volume 45 Issue 5 Pages 885-888

DOI https://doi.org/10.1536/jhj.45.885

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Abstract

A 62-year-old female with Osler's disease was admitted to our hospital because of fever and cardiac failure. The patient had undergone a mitral valve replacement (MVR) using a Carpentier-Edwards prosthetic valve 14 years earlier. A bacterial examination of arterial blood identified Streptococcus mitis. No arteriovenous malformations were detected in visceral organs. The patient underwent MVR using the same prosthetic xenograft after conservative treatment and management of repetitive epistaxis and decayed teeth. Intra- and postoperative bleeding were typical of a mitral valve reoperation. This is the first reported experience, to the best of our knowledge, of a second MVR in a patient with Osler's disease.

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