Leaflet Fracture and Embolization of a CarboMedics Prosthetic Mitral Valve: Case Report
| Autor: | Tae Yeon Kim, Myoung Young Kim |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Medicine (General) medicine.medical_specialty medicine.medical_treatment R5-920 Mitral valve Case report Extracorporeal membrane oxygenation Medicine cardiovascular diseases Embolization Cardiogenic shock business.industry Mitral valve replacement Leaflet fracture Left Common Iliac Artery medicine.disease Surgery medicine.anatomical_structure cardiovascular system Foreign body Cardiology and Cardiovascular Medicine business Mitral valve regurgitation |
| Zdroj: | Journal of Chest Surgery Journal of Chest Surgery, Vol 54, Iss 5, Pp 419-421 (2021) |
| ISSN: | 2765-1614 2765-1606 |
| DOI: | 10.5090/jcs.20.050 |
| Popis: | Fracture of prosthetic valve leaflets in the absence of traumatic injury is very rare. Leaflet fracture can cause acute pulmonary edema and cardiogenic shock and is potentially life-threatening, requiring emergency surgery. Thus, a leaflet fracture must be diagnosed quickly and accurately. We present the case of a 46-year-old man with CarboMedics prosthetic aortic and mitral valve replacements implanted 24 years previously. The patient presented at our emergency department with abrupt dyspnea and fever. We diagnosed severe mitral valve regurgitation with anterior leaflet fracture. The patient underwent venoarterial extracorporeal membrane oxygenation and delayed mitral valve replacement. The foreign body was removed step by step because the diagnosis was missed. Two pieces of broken leaflets were found in the left common iliac artery and left external iliac artery. The patient was treated successfully and remains asymptomatic 1 year following surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|