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CC BY 4.0 · Thorac Cardiovasc Surg Rep 2025; 14(01): e8-e11
DOI: 10.1055/a-2591-9608
Case Report: Cardiac

Single-Stage Quadruple Valve Replacement with Mechanical and Bioprosthetic Valves: An 8-Year Follow-up Study from India

Akriti Gera 
1   Department of Pediatric Cardiology, Medanta Hospital, Gurugram, Haryana, India
,
Amit Misri
1   Department of Pediatric Cardiology, Medanta Hospital, Gurugram, Haryana, India
,
Pankaj Bajpai
1   Department of Pediatric Cardiology, Medanta Hospital, Gurugram, Haryana, India
,
Rajesh Sharma
2   Department of Pediatric Cardiac ICU, Medanta Hospital, Gurugram, Haryana, India
,
Anil Bhan
3   Department of Cardio-Thoracic and Vascular Surgery, Cardiac and Thoracic Surgery, Medanta Hospital, Gurugram, Haryana, India
› Author Affiliations
Funding None.
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Abstract

Background

Congenital heart disease, repaired or unrepaired, requires lifelong follow-up. Carcinoid disease, rheumatic heart disease, and infective endocarditis can damage all four cardiac valves. Multiple valve replacement has a poor outcome.

Case Description

A 23-year-old male underwent single-stage quadruple valve (mechanical [mitral and aortic] and bioprosthetic [tricuspid and pulmonary]) replacement due to rheumatic carditis and surgical complications. Over 8 years of follow-up, he is asymptomatic, has no prosthetic valve-related complications, and has improved cardiac function.

Conclusion

Single-stage quadruple valve replacement with mechanical and bioprosthetic valves has a good long-term outcome. To the best of our knowledge, this is the longest follow-up study from India.

Keywords

quadruple valve replacement - rheumatic carditis - TOF

Note

This study was presented at CSI Frankfurt on June 21, 2024, as a poster presentation.




Publication History

Received: 22 February 2025

Accepted: 07 April 2025

Accepted Manuscript online:
22 April 2025

Article published online:
26 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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