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CASE REPORT
Year : 2019  |  Volume : 16  |  Issue : 3  |  Page : 199-201

A rare case of mitral valve replacement in antiphospholipid antibody syndrome


1 Department of Rheumatology, Apollo Hospitals, Indore, Madhya Pradesh, India
2 Department of Cardiothoracic Surgery, Apollo Hospitals, Indore, Madhya Pradesh, India
3 Department of Cardiology, Apollo Hospitals, Indore, Madhya Pradesh, India

Correspondence Address:
Akshat Pandey
Apollo Hospitals, Scheme No.74-C, Sector-D, Vijaynagar, Indore - 452 010, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/am.am_6_19

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Antiphospholipid antibody syndrome (APLS) is commonly associated with cardiac valvular abnormalities with the involvement of the mitral valve. The mitral valve replacement (MVR) is a high-risk procedure owing to postoperative complications. The major challenge in the management of these patients is to maintain anticoagulation in pre-, intra-, and postoperative conditions. The optimal choice of prosthesis valve (bioprosthetic or mechanical valve) for MVR depends on the individual patient's clinical condition. Previous reports indicate no clear guidance on the ideal prosthesis for MVR in patients with APLS. In the present case report, we performed MVR using bioprosthetic valve in a 42-year-old female diagnosed with APLS with persistent dyspnea secondary to severe mitral regurgitation.


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