Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure
Although renal failure is one of the known comorbidities associated with rapid progression of aortic stenosis, it is unclear whether hemodialysis alters the progression of prosthetic aortic valve stenosis. We describe a 79-year-old female who underwent bioprosthetic aortic valve replacement 8 years...
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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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Series: | International Journal of Nephrology |
Online Access: | http://dx.doi.org/10.4061/2011/386368 |
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author | Michael Mao Mirelle El Ters Sunil Mankad Mira Keddis Soon Park Qi Qian |
author_facet | Michael Mao Mirelle El Ters Sunil Mankad Mira Keddis Soon Park Qi Qian |
author_sort | Michael Mao |
collection | DOAJ |
description | Although renal failure is one of the known comorbidities associated with rapid progression of aortic stenosis, it is unclear whether hemodialysis alters the progression of prosthetic aortic valve stenosis. We describe a 79-year-old female who underwent bioprosthetic aortic valve replacement 8 years ago with stable prosthetic valve area for the initial 6 years. In the last two years, coinciding with the initiation of maintenance hemodialysis, she developed progressive prosthetic valve stenosis to the point of clinical decompensation. She underwent a second prosthetic aortic valve replacement with symptom resolution. This case suggests that circulating milieu in end-stage renal failure and dialysis can accelerate the progression of prosthetic aortic valve stenosis. More frequent clinical followup and surveillance echocardiogram for dialysis patients with bioprosthetic aortic valve may facilitate timely management of valvular stenosis. |
format | Article |
id | doaj-art-6f29782a59d04e24bcb73b52d941e2df |
institution | Kabale University |
issn | 2090-214X 2090-2158 |
language | English |
publishDate | 2011-01-01 |
publisher | Wiley |
record_format | Article |
series | International Journal of Nephrology |
spelling | doaj-art-6f29782a59d04e24bcb73b52d941e2df2025-02-03T05:44:43ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/386368386368Prosthetic Aortic Valve Stenosis in End-Stage Renal FailureMichael Mao0Mirelle El Ters1Sunil Mankad2Mira Keddis3Soon Park4Qi Qian5Division of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USADivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USADivision of Cardiology, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USADivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USADepartment of Surgery, Mayo Clinic, Rochester, MN 55902, USADivision of Nephrology and Hypertension, Department of Medicine, Mayo Clinic, Rochester, MN 55902, USAAlthough renal failure is one of the known comorbidities associated with rapid progression of aortic stenosis, it is unclear whether hemodialysis alters the progression of prosthetic aortic valve stenosis. We describe a 79-year-old female who underwent bioprosthetic aortic valve replacement 8 years ago with stable prosthetic valve area for the initial 6 years. In the last two years, coinciding with the initiation of maintenance hemodialysis, she developed progressive prosthetic valve stenosis to the point of clinical decompensation. She underwent a second prosthetic aortic valve replacement with symptom resolution. This case suggests that circulating milieu in end-stage renal failure and dialysis can accelerate the progression of prosthetic aortic valve stenosis. More frequent clinical followup and surveillance echocardiogram for dialysis patients with bioprosthetic aortic valve may facilitate timely management of valvular stenosis.http://dx.doi.org/10.4061/2011/386368 |
spellingShingle | Michael Mao Mirelle El Ters Sunil Mankad Mira Keddis Soon Park Qi Qian Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure International Journal of Nephrology |
title | Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure |
title_full | Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure |
title_fullStr | Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure |
title_full_unstemmed | Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure |
title_short | Prosthetic Aortic Valve Stenosis in End-Stage Renal Failure |
title_sort | prosthetic aortic valve stenosis in end stage renal failure |
url | http://dx.doi.org/10.4061/2011/386368 |
work_keys_str_mv | AT michaelmao prostheticaorticvalvestenosisinendstagerenalfailure AT mirelleelters prostheticaorticvalvestenosisinendstagerenalfailure AT sunilmankad prostheticaorticvalvestenosisinendstagerenalfailure AT mirakeddis prostheticaorticvalvestenosisinendstagerenalfailure AT soonpark prostheticaorticvalvestenosisinendstagerenalfailure AT qiqian prostheticaorticvalvestenosisinendstagerenalfailure |