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Mitral Valve Dysfunction Caused by Pannus Overgrowth After Mitral Valve Repair Using Carpentier Edwards Physio Ring

Results: Case 1: we performed a mitral valve repair and annuloplasty using a 28 mm CER in a 60 years old. 7 years later, the patient presented fatigue and the mean pressure gradient (MPG) was elevated up to 14.8 mmHg without regurgitation. Case 2: we performed a aortic root replacement and mitral annuloplasty using a 28 mm CER in a 77 years old. 5 years later, the patient presented cough and fatigue with severe MR. Case 3: we performed a Mitral valve repair and annuloplasty using a 28 mm CER in a 69 years old. 3 years later, the patient presented edema and the MPG was elevated up to 13.9 mmHg without regurgitation.