Rallidis Loukianos S, Papadopoulos Costas, Kanakakis John, Paraskevaidis Ioannis, Kremastinos Dimitrios T
Second Department of Cardiology, Attikon Hospital, School of Medicine, University of Athens, Athens, Greece.
Eur J Echocardiogr. 2008 Sep;9(5):704-6. doi: 10.1093/ejechocard/jen138. Epub 2008 Apr 14.
We present a patient with a history of a Sorin tilting disc prosthetic mitral valve implanted 20 years ago who developed acute dyspnoea. Echocardiogram revealed a unique pattern of 'obstruction alternans' of mitral valve prosthesis due to pannus formation. We emphasize the need for urgent surgical treatment of this potentially fatal complication.