Document Detail


Leaflet escape of a mitral Duromedics prosthesis. Case report.
MedLine Citation:
PMID:  2718682     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article reports a case of leaflet embolization of a mitral Edwards-Duromedics prosthesis. The patient had abrupt onset of acute pulmonary edema and was initially treated medically for 3 days. Fluoroscopy showed only one freely moving leaflet and the other was (incorrectly) assumed to be blocked in the closed position. The patient received IV thrombolysis for another 3 days and was finally operated. He died 8 days later from sepsis and the leaflet was recovered at autopsy in the abdominal aorta. Leaflet escape of a mitral Edwards-Duromedics prosthesis is a rare, potentially curable mode of valve failure. Correct interpretation of clinical signs and symptoms and of fluoroscopy should allow early diagnosis and surgical therapy.
Authors:
F E Deuvaert; J Devriendt; J Massaut; G Van Nooten; J De Paepe; G Primo
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  89     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    1989 Jan-Feb
Date Detail:
Created Date:  1989-06-09     Completed Date:  1989-06-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  15-8     Citation Subset:  IM    
Affiliation:
Service of Cardiac Surgery, Hôpital Universitaire Brugmann, ULB, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Embolism / complications
Heart Valve Prosthesis*
Humans
Male
Middle Aged
Mitral Valve Insufficiency / surgery*
Prosthesis Failure
Reoperation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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