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A 31-year-old female was admitted to the Cardiosurgery Department, Medical University of Gdansk, with symptoms of congestive heart failure. The patient underwent aortic valve replacement (AVR) with homograft due to severe aortic insufficiency after inflammatory process 12 years previously. Echocardiography revealed severe aortic homograft regurgitation (AR). Left ventricle (LV) was enlarged and LV ejection fraction (LVEF) was 50%. Aortic valve replacement was postponed due to active endocarditis. Two weeks later, control transoesophageal echocardiography showed severe AR and new vegetations on mitral valve leaflets with torrential regurgitation, increased systolic right ventricle pressure to 55 mmHg, and decreased LVEF to 30%. Two weeks after changing the antibiotic …

Implantation of nitinol self-expanding carotid stent to release circumflex artery compression caused by mitral valve prosthesis