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Leaflet escape in an Edwards TEKNA mitral prosthesis

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Abstract

In almost every type of artificial valve, structural failure has been described. We are reporting on a case of a sudden leaflet escape of an Edwards TEKNA mitral valve prosthesis 12 years after implantation. The patient had a sudden onset of dyspnea and severe pulmonary edema with subsequent cardiogenic shock. An emergency mitral replacement was successfully performed. A multi-detector computed tomography scanning and three-dimensional imaging showed two fragments that had embolized in the terminal aorta and the left common iliac artery. The patient presented visual field abnormality, and postoperative head computed tomography showed watershed cerebral infarction. The escaped leaflet that fractured transversely was removed, following the patient’s recovery, during cardiac surgery.

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References

  1. Calkavur T, Yagdi T, Apaydin A, Islamoglu F, Posacioglu H, Durmaz I, et al. Four years’ experience with the Edwards-Tekna bileaflet valve prosthesis. J Heart Valve Dis. 2002;11:263–9.

    PubMed  Google Scholar 

  2. Pfeiffer H, Bertolini J, Scheld HH, Brinkmann B. Fatal leaflet escape in an Edwards TEKNA aortic prosthesis. J Heart Valve Dis. 2006;15:97 – 9.

    PubMed  Google Scholar 

  3. Mert M, Ozkara A, Hatemi A. Leaflet escape in a revised Edwards-Duromedics mitral prosthesis. J Heart Valve Dis. 2003;12:513–5.

    PubMed  Google Scholar 

  4. L’Huillier I, Meunier JP, Jazayeri S. Acute mitral valve dysfunction: a new case of leaflet escape. Heart. 2001;85:513.

    Article  Google Scholar 

  5. Jazayeri S, Meunier JP, Tatou E, L’Huillier I, Bouchot O, Toulouse C, et al. Fracture embolization of a Tekna mitral prosthesis: case report. J Heart Valve Dis. 2001;10:219 – 21.

    CAS  PubMed  Google Scholar 

  6. Christiansen S, Scheld HH, Hammel D. Leaflet escape in a Tekna valve in aortic position. Ann Thorac Surg. 2001;71:761.

    Article  CAS  Google Scholar 

  7. Mastroroberto P, Chello M, Bevacqua E, Cirillo F, Covino E. Duromedics original prosthesis: what do we really know about diagnosis and mechanism of leaflet escape? Can J Cardiol. 2000;16:1269–72.

    CAS  PubMed  Google Scholar 

  8. Edweards. Edwards TEKNA bileaglet valve clinical report June 2000. Edwards Lifesciences, Irvine; 2000.

    Google Scholar 

  9. Baudet E, Roques X, McBride J, Panès F, Grimaud JP. A 8-year follow-up of the Edwards-Duromedics bileaflet prosthesis. J Cardiovasc Surg (Torino). 1995;36:437 – 42.

    CAS  Google Scholar 

  10. Uchino G, Yoshida H, Sakoda N, Hattori S, Kawabata T, Saiki M, et al. Outlet strut fracture and leaflet escape of Bjork–Shiley convexo-concave valve. Gen Thorac Cardiovasc Surg. 2017;65:358 – 60.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Shin-Yukuhashi Hospital, 1411 Dojoji, Yukuhashi, Fukuoka, 824-0026, Japan

    Shinya Higuchi

  2. Department of Cardiovascular Surgery, Fukuoka Wajiro Hospital, Fukuoka, Japan

    Iwao Matsunaga, Kiyokazu Koga, Eiichi Teshima, Atsuhiro Nakashima, Ryuji Tominaga & Tsuyoshi Ito

Authors
  1. Shinya Higuchi
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  2. Iwao Matsunaga
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  3. Kiyokazu Koga
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  4. Eiichi Teshima
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  5. Atsuhiro Nakashima
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  6. Ryuji Tominaga
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  7. Tsuyoshi Ito
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Correspondence to Shinya Higuchi.

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Shinya Higuchi, Iwao Matsunaga, Kiyokazu Koga, Eiichi Teshima, Atsuhiro Nakashima, Ryuji Tominaga, and Tsuyoshi Ito have no conflicts of interest to disclose.

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Higuchi, S., Matsunaga, I., Koga, K. et al. Leaflet escape in an Edwards TEKNA mitral prosthesis. Gen Thorac Cardiovasc Surg 66, 744–747 (2018). https://doi.org/10.1007/s11748-018-0891-4

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  • DOI: https://doi.org/10.1007/s11748-018-0891-4

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