1. Prosthetic Mitral Valve Leaflet Escape
- Author
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Sin Sang Hun, Darae Kim, Jong-Won Ha, Hyun Chul Ju, Namsik Chung, Geu Ru Hong, Jang Won Sohn, Chi Young Shim, and In Jeong Cho
- Subjects
Iliac artery ,medicine.medical_specialty ,Leaflet (botany) ,medicine.diagnostic_test ,Acute decompensated heart failure ,business.industry ,Cardiogenic shock ,Computed tomography ,Case Report ,Surgical correction ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Cardiac valve prosthesis ,PROSTHETIC MITRAL VALVE ,Prosthesis failure ,Mitral valve ,medicine ,Radiology, Nuclear Medicine and imaging ,Cardiology and Cardiovascular Medicine ,business - 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.
- Published
- 2013