Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

Anne-Kristin Schaefer; Alfred Kocher; Günther Laufer; Dominik Wiedemann

Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

Anne-Kristin Schaefer
, Alfred Kocher
, Günther Laufer
, Dominik Wiedemann

Research output: Journal article (peer-reviewed) › Journal article

Abstract

Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta™ valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.

Original language	English
Pages (from-to)	592-594
Number of pages	3
Journal	The Journal of heart valve disease
Volume	26
Issue number	5
Publication status	Published - 01 Sept 2017
Externally published	Yes

Keywords

Aged, 80 and over
Aortic Valve Insufficiency/diagnosis
Aortic Valve Stenosis/surgery
Bioprosthesis/adverse effects
Diagnosis, Differential
Echocardiography/methods
Endocarditis/diagnosis
Heart Valve Prosthesis/adverse effects
Heart Valve Prosthesis Implantation/adverse effects
Humans
Long Term Adverse Effects/diagnosis
Male
Postoperative Complications/diagnosis
Prosthesis Design
Prosthesis Failure
Reoperation/methods
Shock, Cardiogenic/etiology
Treatment Outcome

Cite this

@article{c7349e115a3c4316a21312b4ca59bec9,

title = "Cusp Tear of Trifecta{\texttrademark} Aortic Bioprosthesis Resulting in Acute Heart Failure",

abstract = "Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta{\texttrademark} valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.",

keywords = "Aged, 80 and over, Aortic Valve Insufficiency/diagnosis, Aortic Valve Stenosis/surgery, Bioprosthesis/adverse effects, Diagnosis, Differential, Echocardiography/methods, Endocarditis/diagnosis, Heart Valve Prosthesis/adverse effects, Heart Valve Prosthesis Implantation/adverse effects, Humans, Long Term Adverse Effects/diagnosis, Male, Postoperative Complications/diagnosis, Prosthesis Design, Prosthesis Failure, Reoperation/methods, Shock, Cardiogenic/etiology, Treatment Outcome",

author = "Anne-Kristin Schaefer and Alfred Kocher and G{\"u}nther Laufer and Dominik Wiedemann",

year = "2017",

month = sep,

day = "1",

language = "English",

volume = "26",

pages = "592--594",

journal = "The Journal of heart valve disease",

issn = "0966-8519",

publisher = "ICR Publishers Ltd",

number = "5",

}

TY - JOUR

T1 - Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

AU - Schaefer, Anne-Kristin

AU - Kocher, Alfred

AU - Laufer, Günther

AU - Wiedemann, Dominik

PY - 2017/9/1

Y1 - 2017/9/1

N2 - Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta™ valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.

AB - Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta™ valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.

KW - Aged, 80 and over

KW - Aortic Valve Insufficiency/diagnosis

KW - Aortic Valve Stenosis/surgery

KW - Bioprosthesis/adverse effects

KW - Diagnosis, Differential

KW - Echocardiography/methods

KW - Endocarditis/diagnosis

KW - Heart Valve Prosthesis/adverse effects

KW - Heart Valve Prosthesis Implantation/adverse effects

KW - Humans

KW - Long Term Adverse Effects/diagnosis

KW - Male

KW - Postoperative Complications/diagnosis

KW - Prosthesis Design

KW - Prosthesis Failure

KW - Reoperation/methods

KW - Shock, Cardiogenic/etiology

KW - Treatment Outcome

UR - https://www.scopus.com/pages/publications/85052572823

M3 - Journal article

C2 - 29762930

SN - 0966-8519

VL - 26

SP - 592

EP - 594

JO - The Journal of heart valve disease

JF - The Journal of heart valve disease

IS - 5

ER -

Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

Abstract

Keywords

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