Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs.
| Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 3) |
| DOI | 10.11648/j.ijcts.20230903.15 |
| Page(s) | 40-44 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Triple Valve, Replacement, Bamako
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APA Style
Baba Ibrahima Diarra, Modibo Doumbia, Mamadou Touré, Sanoussy Daffe, Bakary Coulibaly, et al. (2023). First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. International Journal of Cardiovascular and Thoracic Surgery, 9(3), 40-44. https://doi.org/10.11648/j.ijcts.20230903.15
ACS Style
Baba Ibrahima Diarra; Modibo Doumbia; Mamadou Touré; Sanoussy Daffe; Bakary Coulibaly, et al. First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(3), 40-44. doi: 10.11648/j.ijcts.20230903.15
AMA Style
Baba Ibrahima Diarra, Modibo Doumbia, Mamadou Touré, Sanoussy Daffe, Bakary Coulibaly, et al. First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako. Int J Cardiovasc Thorac Surg. 2023;9(3):40-44. doi: 10.11648/j.ijcts.20230903.15
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Download@article{10.11648/j.ijcts.20230903.15,
author = {Baba Ibrahima Diarra and Modibo Doumbia and Mamadou Touré and Sanoussy Daffe and Bakary Coulibaly and Oumar Doucouré and Siriman Koita and Diallo Binta and Salia Traoré and Mahamadoune Coulibaly and Mamadou Bocary Diarra and Birama Togola and Seydou Togo and Moussa Abdoulaye Ouattara and Sadio Yena and Guy Fernandez and Bina Nadjeeboulah and Erwan Flecher and Thiery Langanay and Alain Deloche},
title = {First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako},
journal = {International Journal of Cardiovascular and Thoracic Surgery},
volume = {9},
number = {3},
pages = {40-44},
doi = {10.11648/j.ijcts.20230903.15},
url = {https://doi.org/10.11648/j.ijcts.20230903.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230903.15},
abstract = {Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs.},
year = {2023}
}
TY - JOUR T1 - First Case of Triple Valve Replacement in the Andre Festoc Center in Bamako AU - Baba Ibrahima Diarra AU - Modibo Doumbia AU - Mamadou Touré AU - Sanoussy Daffe AU - Bakary Coulibaly AU - Oumar Doucouré AU - Siriman Koita AU - Diallo Binta AU - Salia Traoré AU - Mahamadoune Coulibaly AU - Mamadou Bocary Diarra AU - Birama Togola AU - Seydou Togo AU - Moussa Abdoulaye Ouattara AU - Sadio Yena AU - Guy Fernandez AU - Bina Nadjeeboulah AU - Erwan Flecher AU - Thiery Langanay AU - Alain Deloche Y1 - 2023/06/29 PY - 2023 N1 - https://doi.org/10.11648/j.ijcts.20230903.15 DO - 10.11648/j.ijcts.20230903.15 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 40 EP - 44 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20230903.15 AB - Triple valvulopathy refers to triple valve dysfunction: mitral, aortic and tricuspid. Most are of rheumatic origin. The specificity of these triple disorders derives from the great variability of the pictures encountered, associating to varying degrees leakage and stenosis in each orifice. The aim of this work was to establish the specific features of this surgery, to determine the operative indications, and to evaluate the operative results in a developing country. We report the case of a 25-year-old female patient with a history of recurrent angina during childhood, who underwent therapeutic termination of pregnancy 03 years ago for exertional dyspnea and edema of the lower limbs, revealing this cardiopathy. Cardiac ultrasonography revealed a tight mitral narrowing with a mitral surface area of 0.7 cm2 and a mean gradient of 15 mmhg; tricuspid disease combining severe tricuspid insufficiency and tricuspid narrowing with a mean gradient of 7 mmhg; and a tight calcified aortic narrowing with a mean gradient of 51 mmhg. Operability tests were normal. She underwent triple valve replacement: mechanical mitral valve replacement with a No. 33 prosthesis; mechanical aortic valve replacement with a No. 24 prosthesis; and biological tricuspid valve replacement with a No. 25 bioprosthesis. Extracorporeal circulation time was 217 min, clamping time 132 minutes and assistance time 66 minutes. Post-operative follow-up was marked by left and right ventricular dysfunction, which progressed well on drugs. VL - 9 IS - 3 ER -
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