J Surg Case Rep. 2026 Sep 20;2026(9):rjag838. doi: 10.1093/jscr/rjag838. eCollection 2026 Sep.
ABSTRACT
Eosinophilic granulomatosis with polyangiitis (EGPA) is an autoimmune disease which most serious complication is cardiac involvement. In our knowledge in the available literature there wasn't any description of surgery of both mitral and tricuspid valves in connection with a complication after EGPA. A 49-year-old patient with previously diagnosed EGPA was admitted to the Cardiosurgery Department due to mitral and tricuspid valve regurgitation. The patient was qualified to the surgery-the ATS 27 mm valve was implanted in the mitral position and the tricuspid valve repair was conducted using Physio 32 mm ring via a transseptal approach. Postoperative period was uneventful and the patient was discharged in good condition. Cardiac involvement is the main cause of death in patients with EGPA. Appropriate diagnosis, treatment and perioperative management could be challenging, require knowledge and experience in management of this condition.
PMID:42764846 | PMC:PMC13589847 | DOI:10.1093/jscr/rjag838