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Mitral and Aortic Valvular Insufficiency in Chronic Relapsing Polychondritis
George Pappas, MD;
Martin Johnson, MD
AMA Arch Surg. 1972;104(5):712-714.
Abstract
Mitral and aortic valvular insufficiency required staged valve replacement in a patient with chronic relapsing polychondritis. The homograft valves functioned normally but the patient died of an unrecognized mediastinitis and overwhelming sepsis while on immunosuppression for his underlying disease 16 days following aortic valve replacement and six months after mitral replacement. Pathologically the valvular insufficiency was primarily due to annular dilatation. The media of the aorta, pulmonary artery, and other major arteries demonstrated marked disruption of the elastic fibers. At postmortem examination the homograft valves appeared normal and were firmly united to the supportive stents, even while on immunosuppression.
Author Affiliations
Denver
From the departments of surgery and pathology, University of Colorado (Denver) Medical Center, and the Denver Veterans Administration Hospital.
Footnotes
Accepted for publication Nov 17, 1971.
Reprint requests to Denver Veterans Administration Hospital, 1055 Clermont Street, Denver 80220 (Dr. Pappas).
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