[A Case of Mitral Valvular Re-repair in a @entity1 with XXXX after Mitral Valvular Repair].

@entity1 @entity339 @entity101 @entity66839 @entity397 @entity880 @entity5714 @entity2142
A 54-year-old @entity1 was admitted for mitral valvular repair. After folding plasty to A3, a 30 mm Cosgrove-Edwards ring was placed. There was no @entity339 jet observed by transesophageal echocardiography (TEE) during the operation. However, @entity101 was monitored and treated in the intensive care unit, @entity5714 developed, and the serum @entity880 dehydrogenase level was elevated. Two weeks after the operation, serum @entity880 dehydrogenase was again elevated. TEE showed mild @entity339 and the regurgitation jet colliding with the annuloplasty ring. Multiple transfusions of red blood cells were required. Repeat surgery was therefore undertaken. @entity66839 and associates previously studying @entity1 on @entity2142 after mitral valvular repair noted high grade @entity339 jets fragmented or accelerated. In the present case, @entity339 was mild, but the high velocity and manner of regurgitation (collision with the annuloplasty ring) could cause @entity5714 . In the present case, @entity101 might have caused chordae @entity397 . Furthermore, a flexible ring, such as the Cosgrove-Edwards ring, is likely to cause @entity5714 . As contributing factors to @entity2142 after mitral valvular repair, perioperative blood pressure management and type of ring are significant.
