Blockage of a Mechanical Aortic Valve Leaflet with BioGlue: A Case Report

2012 ◽  
Vol 15 (6) ◽  
pp. E310-E312 ◽  
Author(s):  
Tone Gabrijelcic
2014 ◽  
Vol 25 (4) ◽  
pp. e4-e6 ◽  
Author(s):  
Piotr Buczkowski ◽  
Maciej Walczak ◽  
Sebastian Stefaniak ◽  
Mateusz Puslecki ◽  
Izabela Katynska ◽  
...  

Author(s):  
Emmanouel Papadakis ◽  
Thomas Martens ◽  
Meletios Kanakis

Acute or delayed mechanical valve fracture with possible migration is a rare problem seen after valve replacement. We report a patient where mechanical aortic valve leaflet detachment was encountered during implantation. The missing leaflet was retrieved in the left atrium at the level of the right lower pulmonary vein. This has not yet been described, and prompt recognition and intervention is warranted.


Author(s):  
Johannes Rotta Detto Loria ◽  
Holger Thiele ◽  
Mohamed Abdel-Wahab

Abstract Background Fatal thrombo-embolic events like cerebral stroke or myocardial infarction are rare complications of prosthetic heart valve leaflet thrombosis. Nevertheless, prevention and management of leaflet thrombosis is gaining increased attention, particularly with the widespread adoption of transcatheter heart valves. Case summary We herein present the case of a 79-year-old man who had undergone a transcatheter aortic valve implantation procedure. Seven months later, he presented with a non-ST-segment elevation myocardial infarction. Coronary angiography did not reveal obstructive lesions. A dedicated cardiac computed tomography scan showed thrombosis of both right- and non-coronary leaflets of the prosthetic aortic valve, while prosthetic valve function was normal on echocardiography. Transmural myocardial infarction lesions in the midventricular and apical inferior wall were detected by cardiac magnetic resonance imaging. Discussion Subclinical leaflet thrombosis of prosthetic aortic valves is a common finding. In this case report, we show that myocardial infarction presumably due to leaflet thrombosis was the first symptom in an otherwise asymptomatic patient. This finding raises the question of the validity in distinguishing between subclinical and clinical leaflet thrombosis based on prosthetic valve function.


Author(s):  
Yasser Shaban Mubarak ◽  
MD; Muhammad Hussian Abdel Wahaab, MD

- Percutaneous Coronary Intervention (PCI) is widely recognized as an effective treatment for Acute Coronary Syndrome (ACS). Inspite of advances in equipment and experience of interventional cardiologist, still there are rare complications occurred [1]. Iatrogenic injury of the aortic valve leaflet is a rare. Aortic insufficiency (AI) after a PCI suggests an iatrogenic valve injury. Aortic leaflet injury is not common but possible complication of PCI. Because of the serious consequences, it should be mentioned in the informed consent. Aortic repair of iatrogenic injury is possible, and it can be performed with excellent clinical and functional midterm results. So, Aortic valve replacement (AVR) is the last option [2].


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