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Case Reports
. 2024 Feb 9;29(6):102237.
doi: 10.1016/j.jaccas.2024.102237. eCollection 2024 Mar 20.

Acute Pulmonary Edema After Double Mechanical Valve Replacement

Audrey Poulat  1 , Constance Verdonk  1 , Marylou Para  1 , Ali Jendoubi  1 , Takoua Khzouri  1 , Jean Nicolas Senemaud  1 , Yves Castier  1 , Rainu Richaud  2 , Phalla Ou  1 , Bernard Iung  1 , Patrick Nataf  1
Affiliations
Case Reports

Acute Pulmonary Edema After Double Mechanical Valve Replacement

Audrey Poulat et al. JACC Case Rep. .

Abstract

We report a case of a 16-year-old man in cardiogenic shock secondary to On-X mitral prosthesis dysfunction due to leaflet embolization through aortic mechanical prosthesis. He underwent an emergency redo mitral valve replacement and, a few days later, leaflet removal by open aortic surgery with full recovery.

Keywords: aortic valve; mitral valve; valve replacement.

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Conflict of interest statement

The 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
3D TEE of the Mitral Mechanical Valve Open and Closed (A) Three-dimensional transesophageal echocardiogram (3D-TEE) of the mitral mechanical valve: open mitral mechanical valve with missing leaflet. (B) 3D-TEE of mitral mechanical valve: closed mitral mechanical valve with missing leaflet.
Figure 2
Figure 2
Operative Findings Upon Macroscopic Valve Examination
Figure 3
Figure 3
CT Findings on Aortic Bifurcation The arrow is pointing to the lost leaflet. CT = computed tomography.
Figure 4
Figure 4
Embolized Mechanical Mitral Valve Leaflet at the Time of Surgical Removal
See this image and copyright information in PMC

References

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