Prosthetic Mitral Valve Leaflet Escape.
- Author:
Darae KIM
1
;
Sin Sang HUN
;
In Jeong CHO
;
Chi Young SHIM
;
Jong Won HA
;
Namsik CHUNG
;
Hyun Chul JU
;
Jang Won SOHN
;
Geu Ru HONG
Author Information
- Publication Type:Case Report
- Keywords: Cardiac valve prosthesis; Prosthesis failure; Cardiogenic shock
- MeSH: Echocardiography, Transesophageal; Heart Failure; Heart Valve Prosthesis; Humans; Iliac Artery; Mitral Valve; Prosthesis Failure; Shock, Cardiogenic; United Nations
- From:Journal of Cardiovascular Ultrasound 2013;21(2):96-99
- CountryRepublic of Korea
- Language:English
- 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.
