Prosthetic Mitral Valve Leaflet Escape
Journal of Cardiovascular Ultrasound
;
: 96-99, 2013.
Article
in English
| WPRIM
| ID: wpr-59657
ABSTRACT
Leaflet escape of prosthetic valve is rare but potentially life threatening. It is essential to make timely diagnosis in order to avoid mortality. Transesophageal echocardiography and cinefluoroscopy is usually diagnostic and the location of the missing leaflet can be identified by computed tomography (CT). Emergent surgical correction is mandatory. We report a case of fractured escape of Edward-Duromedics mitral valve 27 years after the surgery. The patient presented with symptoms of acute decompensated heart failure and cardiogenic shock. She was instantly intubated and mechanically ventilated. After prompt evaluation including transthoracic echocardiography and CT, the escape of the leaflet was confirmed. The patient underwent emergent surgery for replacement of the damaged prosthetic valves immediately. Eleven days after the surgery, the dislodged leaflet in iliac artery was removed safely and the patient recovered well.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shock, Cardiogenic
/
United Nations
/
Prosthesis Failure
/
Heart Valve Prosthesis
/
Echocardiography, Transesophageal
/
Heart Failure
/
Iliac Artery
/
Mitral Valve
Limits:
Humans
Language:
English
Journal:
Journal of Cardiovascular Ultrasound
Year:
2013
Type:
Article
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