Gera Akriti, Misri Amit, Bajpai Pankaj, Sharma Rajesh, Bhan Anil
Department of Pediatric Cardiology, Medanta Hospital, Gurugram, Haryana, India.
Department of Pediatric Cardiac ICU, Medanta Hospital, Gurugram, Haryana, India.
Thorac Cardiovasc Surg Rep. 2025 May 26;14(1):e8-e11. doi: 10.1055/a-2591-9608. eCollection 2025 Jan.
Congenital heart disease, repaired or unrepaired, requires lifelong follow-up. Carcinoid disease, rheumatic heart disease, and infective endocarditis can damage all four cardiac valves. Multiple valve replacement has a poor outcome.
A 23-year-old male underwent single-stage quadruple valve (mechanical [mitral and aortic] and bioprosthetic [tricuspid and pulmonary]) replacement due to rheumatic carditis and surgical complications. Over 8 years of follow-up, he is asymptomatic, has no prosthetic valve-related complications, and has improved cardiac function.
Single-stage quadruple valve replacement with mechanical and bioprosthetic valves has a good long-term outcome. To the best of our knowledge, this is the longest follow-up study from India.
先天性心脏病，无论是否接受修复，都需要终身随访。类癌性心脏病、风湿性心脏病和感染性心内膜炎可损害所有四个心脏瓣膜。多次瓣膜置换术效果不佳。
一名23岁男性因风湿性心脏病和手术并发症接受了单阶段四联瓣膜置换术（机械瓣膜[二尖瓣和主动脉瓣]和生物瓣膜[三尖瓣和肺动脉瓣]）。经过8年的随访，他没有症状，没有人工瓣膜相关并发症，心脏功能有所改善。
机械瓣膜和生物瓣膜单阶段四联瓣膜置换术有良好的长期效果。据我们所知，这是来自印度的最长随访研究。
