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. 2020 Nov 18;2(14):2202-2204.
doi: 10.1016/j.jaccas.2020.10.005.

Fracture of an Edwards Duromedics Mitral Prosthesis Leaflet

Hassane Abdallah  1 , Ahmed Ibrahim  2 , Khalid Al Khamees  1
Affiliations

Fracture of an Edwards Duromedics Mitral Prosthesis Leaflet

Hassane Abdallah et al. JACC Case Rep. .

Abstract

We report the case of a 54-year-old patient who underwent a repeated mitral replacement after a nontraumatic fracture of a leaflet of an Edwards Duromedics (Baxter) mechanical prosthesis that was performed 33 years after implantation. This paper discusses the different options for surgical management of such a complication. (Level of Difficulty: Intermediate.).

Keywords: ED, Edwards Duromedics (prosthesis); embolization; fracture; mitral valve.

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Conflict of interest statement

All authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Perioperative Transoesophageal Echocardiography 2-Chamber View (A) Perioperative transoesophageal echocardiography 2-chamber view. Only 1 leaflet is seen in the closed position. Color Doppler flow showed severe mitral regurgitation coming from the missed leaflet. (B) Postoperative computed tomography scanning showed the embolized leaflet at the origin of the left common iliac artery.
Figure 2
Figure 2
Explanted Mitral Valve (A) Explanted mitral valve showed only 1 leaflet. (B) Half of the leaflet at the time of surgical removal.
See this image and copyright information in PMC

References

    1. Calik E.S., Limandal H.K., Arslan U. Acute mitral valve dysfunction due to escape of prosthetic mechanical leaflet and peripheral leaflet embolization. Heart Surg Forum. 2015;18:E245–E249. - PubMed
    1. Van Steenbergen G.G., Tsang Q.H., van der Heide S.M. Spontaneous leaflet fracture resulting in embolization from mechanical valve prostheses. J Card Surg. 2019;34:124–130. - PMC - PubMed
    1. Mastroroberto P., Chello M., Bevacqua E. Duromedics original prosthesis: what do we really know about diagnosis and mechanism of leaflet escape? Can J Cardiol. 2000;16:1269–1272. - PubMed

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