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Prosthetic Mitral valve Leaflet Escape

Authors
 Darae Kim  ;  Sin Sang Hun  ;  In-Jeong Cho  ;  Chi-Young Shim  ;  Jong-Won Ha  ;  Namsik Chung  ;  Hyun Chul Ju  ;  Jang Won Sohn  ;  Geu-Ru Hong 
Citation
 Journal of Cardiovascular Ultrasound, Vol.21(2) : 96-99, 2013 
Journal Title
 Journal of Cardiovascular Ultrasound 
ISSN
 1975-4612 
Issue Date
2013
Keywords
Cardiac valve prosthesis ; Cardiogenic shock ; Prosthesis failure
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.
Files in This Item:
T201306153.pdf Download
DOI
10.4250/jcu.2013.21.2.96
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Da Rae(김다래)
Son, Jang Won(손장원)
Shin, Sang Hoon(신상훈)
Shim, Chi Young(심지영) ORCID logo https://orcid.org/0000-0002-6136-0136
Chung, Nam Sik(정남식)
Cho, In Jeong(조인정)
Joo, Hyun Chel(주현철) ORCID logo https://orcid.org/0000-0002-6842-2942
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
Hong, Geu Ru(홍그루) ORCID logo https://orcid.org/0000-0003-4981-3304
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158458
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