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

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 a...

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Autores principales: Devbhandari, Mohan P, Woo, Edwin BC, Hooper, Timothy L
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533661/
https://www.ncbi.nlm.nih.gov/pubmed/18513417
http://dx.doi.org/10.1186/1749-8090-3-34
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author Devbhandari, Mohan P
Woo, Edwin BC
Hooper, Timothy L
author_facet Devbhandari, Mohan P
Woo, Edwin BC
Hooper, Timothy L
author_sort Devbhandari, Mohan P
collection PubMed
description 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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spelling pubmed-25336612008-09-12 Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta Devbhandari, Mohan P Woo, Edwin BC Hooper, Timothy L J Cardiothorac Surg Case Report 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. BioMed Central 2008-05-30 /pmc/articles/PMC2533661/ /pubmed/18513417 http://dx.doi.org/10.1186/1749-8090-3-34 Text en Copyright © 2008 Devbhandari et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Devbhandari, Mohan P
Woo, Edwin BC
Hooper, Timothy L
Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title_full Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title_fullStr Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title_full_unstemmed Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title_short Long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
title_sort long-term event-free survival with an embolised prosthetic valve leaflet in the thoracic aorta
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2533661/
https://www.ncbi.nlm.nih.gov/pubmed/18513417
http://dx.doi.org/10.1186/1749-8090-3-34
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