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Forty-three year survival with the ball-in-cage heart valveprosthesis (MKCH model 02) in the mitral positionof a female patient: hemodynamic result, health-relatedquality of life, medication therapy correction

Authors: Nikitina T.G., Pelekh D.M., Fadeev A.A., Glushko L.A., Il'yina V.E., Bockeria L.A.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery of Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2019-13-3-274-284

For citation: Nikitina T.G., Pelekh D.M., Fadeev A.A., Glushko L.A., Il'yina V.E., Bockeria L.A. Forty-three year survival with the ball-in-cage heart valve prosthesis (MKCH model 02) in the mitral position of a female patient: hemodynamic result, health-related quality of life, medication therapy correction. Creative Cardiology. 2019; 13 (3): 274–84 (in Russ.). DOI: 10.24022/ 1997-3187-2019-13-3-274-284

Received / Accepted:  16.08.2019/01.09.2019

Keywords: mitral heart disease spherical mechanical prosthesis heart failure long-term result quality of life

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Abstract

Female, 60 years old, underwent mitral valve replacement with a caged ball mechanical prosthesis MKCH-02 at the Bakoulev Center (BC) in 1976 at the age of 18. Over the next 37 years the patient kept on follow-up in the polyclinic department of BC. Prosthesis function and the degree of cardiac cavity remodeling were performed by Echo. Also medical treatment correction, including an anticoagulant therapy was performed. According to the move to another region of the country, the patient dropped out of the supervision for five years. In August 2018, the patient again was admitted to the BC with the heart failure signs. According to echocardiography, the function of the ball prosthesis is normal, cardiomegaly, atriomegaly and pulmonary hypertension were noted; on Holter monitoring ventricular rhythm disturbances were registered. The patient was treated for heart failure (HF), as well as correction of the anticoagulant therapy was made. On the 7th day, subcompensation was achieved: the HF functional class was NYHA – II, the volume of the heart chambers decreased as well as pressure in pulmonary artery according to Echo, decreased the frequency of ventricular arrhythmia by Holter. Testing on the quality of life questionnaires was performed (SF-36 and DASI): a satisfactory physical and mental condition, a good level of social functioning were noted.

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About Authors

  • Tatyana G. Nikitina, Dr. Med. Sc., Professor, Head of Department, ORCID;
  • Dmitriy M. Pelekh, Cand. Med. Sc., Researcher, Cardiologist, ORCID;
  • Aleksander A. Fadeev, Cand. Tech. Sc., Head of Laboratory, ORCID;
  • Lyudmila A. Glushko, Cand. Med. Sc., Head of Pulmonary Samples and Gas Exchange Monitoring Group, Cardiologist, ORCID;
  • Valentina E. Il'yina, Dr, Med. Sc., Senior Researcher, Cardiovascular Surgeon;
  • Leo A. Bockeria, Academician of Russian Academy of Sciences and Russian Academy of Medical Sciences, Director, ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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