PMID- 36842395
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230317
IS  - 2210-2612 (Print)
IS  - 2210-2612 (Electronic)
IS  - 2210-2612 (Linking)
VI  - 104
DP  - 2023 Mar
TI  - Case report: Autopericardial aortic valve replacement and mitral homograft 
      implantation in a patient with ankylosing spondylitis.
PG  - 107911
LID - S2210-2612(23)00039-1 [pii]
LID - 10.1016/j.ijscr.2023.107911 [doi]
LID - 107911
AB  - INTRODUCTION AND IMPORTANCE: Bekhterev's disease, or ankylosing spondylitis (AS), 
      is a chronic inflammatory rheumatic disease closely related to the human 
      leukocyte antigen (HLA)-B27. Cardiac damage in AS occurs in 2-10 % of patients 
      more commonly as aortic insufficiency, aortitis, mitral valve fibrosis, or 
      cardiac conduction abnormalities. CASE PRESENTATION: In this article we present a 
      clinical case of a 52-year-old female patient with Bekhterev's disease, who 
      underwent aortic valve reconstruction with autopericardium and mitral homograft 
      implantation in mitral position. CLINICAL DISCUSSION: The use of homografts and 
      reconstructive surgeries using autologous materials allow not only avoiding 
      lifelong intake of anticoagulants, but also maintaining hemodynamic profile 
      comparable to that of native valves. CONCLUSION: This clinical case shows that 
      treatment of patients with rheumatic diseases is a complex treatment problem that 
      requires a personalized approach.
CI  - Copyright (c) 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.
FAU - Komarov, R N
AU  - Komarov RN
AD  - Department of Cardiovascular Surgery, I. M. Sechenov University Hospital, First 
      Moscow State Medical University, Trubetskaya str., d 8, str.2, Moscow 119991, 
      Russia.
FAU - Tkachev, M I
AU  - Tkachev MI
AD  - Department of Cardiovascular Surgery, I. M. Sechenov University Hospital, First 
      Moscow State Medical University, Trubetskaya str., d 8, str.2, Moscow 119991, 
      Russia. Electronic address: tkachev.cardiovascular@gmail.com.
FAU - Ismailbaev, A M
AU  - Ismailbaev AM
AD  - Department of Cardiovascular Surgery, I. M. Sechenov University Hospital, First 
      Moscow State Medical University, Trubetskaya str., d 8, str.2, Moscow 119991, 
      Russia.
FAU - Nuzhdin, M D
AU  - Nuzhdin MD
AD  - Department of Cardiovascular Surgery, State Budget Healthcare Institution 
      Chelyabinsk Regional Clinical Hospital, Vorovskogo str., d. 70, Chelyabinsk, 
      Chelyabinsk region 454048, Russia.
FAU - Savina, V A
AU  - Savina VA
AD  - Department of Cardiovascular Surgery, I. M. Sechenov University Hospital, First 
      Moscow State Medical University, Trubetskaya str., d 8, str.2, Moscow 119991, 
      Russia.
FAU - Botashev, A A
AU  - Botashev AA
AD  - Department of Cardiovascular Surgery, Petrovsky Russian Scientific Center of 
      Surgery, Abrikosovsky per., d.2, Moscow 119435, Russia.
LA  - eng
PT  - Case Reports
DEP - 20230201
PL  - Netherlands
TA  - Int J Surg Case Rep
JT  - International journal of surgery case reports
JID - 101529872
PMC - PMC9988661
OTO - NOTNLM
OT  - Ankylosing spondylitis
OT  - Autopericardial replacement
OT  - Case report
OT  - Mitral homograft
OT  - Neocuspidization
COIS- Declaration of competing interest The authors have no conflicts of interest to 
      declare.
EDAT- 2023/02/27 06:00
MHDA- 2023/02/27 06:01
PMCR- 2023/02/01
CRDT- 2023/02/26 18:34
PHST- 2022/12/12 00:00 [received]
PHST- 2023/01/30 00:00 [accepted]
PHST- 2023/02/27 06:00 [pubmed]
PHST- 2023/02/27 06:01 [medline]
PHST- 2023/02/26 18:34 [entrez]
PHST- 2023/02/01 00:00 [pmc-release]
AID - S2210-2612(23)00039-1 [pii]
AID - 107911 [pii]
AID - 10.1016/j.ijscr.2023.107911 [doi]
PST - ppublish
SO  - Int J Surg Case Rep. 2023 Mar;104:107911. doi: 10.1016/j.ijscr.2023.107911. Epub 
      2023 Feb 1.