[Mitral and Aortic Valve Replacement and Tricuspid Valve Repair in a Patient with Metal Allergy].
Kyobu Geka
; 74(8): 578-582, 2021 Aug.
Article
em Ja
| MEDLINE
| ID: mdl-34334597
ABSTRACT
We report a 63-year-old woman came to our hospital with exertional dyspnea, palpitations, and abdominal distention. Echocardiography showed mitral, aortic, and tricuspid valve insufficiency, for which surgery was indicated. Twenty-six years ago, during dental therapy, she was diagnosed with metal allergy. A patch test demonstrated allergic reactions to manganese, chromium, and zinc. The patient underwent mitral and aortic valve replacement with the On-X prosthetic heart valve, which is primarily made of titanium and devoid of the allergens. She also underwent tricuspid valve repair with a Contour 3D annuloplasty ring, which is made of titanium alloy. She manifested no allergic symptoms three years after surgery. This case elucidates the importance of history taking regarding metal allergy and identification of allergens by patch testing in patients undergoing cardiac surgery involving metal device implantation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Insuficiência da Valva Tricúspide
/
Próteses Valvulares Cardíacas
/
Implante de Prótese de Valva Cardíaca
/
Anuloplastia da Valva Cardíaca
/
Anuloplastia da Valva Mitral
/
Hipersensibilidade
/
Insuficiência da Valva Mitral
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
Ja
Ano de publicação:
2021
Tipo de documento:
Article