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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Main Authors: Michael Mao, Mirelle El Ters, Sunil Mankad, Mira Keddis, Soon Park, Qi Qian
Format: Article
Language:English
Published: Wiley 2011-01-01
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.
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institution Kabale University
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language English
publishDate 2011-01-01
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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
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AT mirelleelters prostheticaorticvalvestenosisinendstagerenalfailure
AT sunilmankad prostheticaorticvalvestenosisinendstagerenalfailure
AT mirakeddis prostheticaorticvalvestenosisinendstagerenalfailure
AT soonpark prostheticaorticvalvestenosisinendstagerenalfailure
AT qiqian prostheticaorticvalvestenosisinendstagerenalfailure