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Case Reports
. 2008 May 30:3:34.
doi: 10.1186/1749-8090-3-34.

Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta

Mohan P Devbhandari  1 , Edwin B C Woo, Timothy L Hooper
Affiliations
Case Reports

Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta

Mohan P Devbhandari et al. J Cardiothorac Surg. .

Abstract

We report the case of a patient who underwent a redo surgery for a leaflet escape from a Bjork-Shiley tilting disc mitral prosthesis inserted 18 years previously. The escaped disc remained lodged in the thoracic aorta without any complication. She ultimately died of terminal heart failure 13 years after the second operation. We believe this to be the longest survival with a dislodged leaflet from a mechanical valve. Removal of dislodged disc is recommended in literature but there may be a place for watchful observation in exceptional cases with no haemodynamic compromise.

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