Key result
Redo replacement with a mechanical prosthesis successfully treated early bioprosthetic aortic valve failure due to accelerated degeneration in a 64-year-old woman with rheumatoid arthritis.
Case Report (n=1)
Highlights the potential for accelerated bioprosthetic valve degeneration in patients with rheumatoid arthritis, suggesting careful consideration of valve choice.
Heart lesions in patients with rheumatoid arthritis (RA) are well documented in literature; however, in the majority of cases these are incidental findings at postmortem. Most patients do not require cardiac surgical intervention unless they develop complications such as significant valvular regurgitation. Patients with RA often require orthopedic operations and therefore a bioprosthetic valve replacement is normally advocated to avoid problems related to anticoagulation. We report a case of a 64-year-old woman with seropositive RA who had undergone bioprosthetic aortic valve replacement three years previously. She re-presented with early prosthetic valve failure due to accelerated degeneration and calcification. This was treated successfully with redo replacement with a mechanical prosthesis. Here, we discuss our experience and debate the various valve choices available that should be considered in patients with rheumatoid disease.
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Asopa et al. (2008) conducted a case report in Rheumatoid arthritis and early prosthetic valve failure (n=1). Redo replacement with a mechanical prosthesis was evaluated on Treatment success. Redo replacement with a mechanical prosthesis successfully treated early bioprosthetic aortic valve failure due to accelerated degeneration in a 64-year-old woman with rheumatoid arthritis.
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