Abstract
A 73-year-old male with a history of right nephrectomy due to cancer in 1996 was referred to our hospital for dyspnea and acute chest pain. In May 2007, the Shelhigh® No-React® valved bioconduit was implanted using the Bentall-De Bono procedure due to the finding of severe aortic valve insufficiency and acute type A aortic dissection. Nine months after discharge, he was placed on chronic renal dialysis. The patient’s condition was followed carefully after being placed on dialysis, and now, thirteen years later the implanted aortic valve is still moving freely without signs of calcification.
Highlights
Multiple publications found correlations among cardiopulmonary bypass (CPB), hemodialysis treatment, and accelerated rate of calcification; aortic valve stenosis is, a common problem for patients who are suffering from end-stage renal diseases [1, 2]
Hemodialysis treatment and CPB are considered as forms of immune insults that lead to an acceleration of the calcification process of the bioprosthesis as fast as children do with their bioprosthesis
The findings have clearly shown that most of the pericardial substitutes implanted without CPB were well received, while the patient with CPB showed disastrous adhesion and strong foreign body reaction
Summary
Observe the Unexpected: A Strange History of Bioprosthesis in a Patient in Dialytic Treatment.
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