A case of myonephropathic-metabolic syndrome after urgent aortic valve re-replacement due to prosthetic valve thrombosis

Acute cardiac failure due to prosthetic valve thrombosis is a rare, but lethal complication after cardiac valve replacement. A 40-year-old female admitted to our hospital, because of cardiac failure after aortic valve replacement with a #21 Björk-Shiley valve in 1975. After admission, echocardiography showed thrombotic obstruction of the prosthetic valve, and we underwent urgent aortic valve re-replacement. Postoperative period, she was complicated with myonephropathic-metabolic syndrome (MNMS). But, we performed intermittent veno-venous hemofiltration (IVVH) in early period, and successfully could save her life and her lower limb.