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Ann Thorac Surg 1999;67:1484-1485
© 1999 The Society of Thoracic Surgeons

Case Reports

Stuck valve leaflet detected by intraoperative transesophageal echocardiography

Hiroshi Kumano, MDa, Shigefumi Suehiro, MD, PhDa, Toshihiko Shibata, MDa, Koji Hattori, MD, PhDb, Hiroaki Kinoshita, MD, PhDa

a Second Department of Surgery, Osaka City University Medical School, Osaka, Japan
b Division of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan

Accepted for publication October 26, 1998.

Address reprint requests to Dr Kumano, Second Department of Surgery, Osaka City University Medical School, 1-5-7, Asahimachi, Abeno-ku, Osaka 545-0051, Japan

We encountered a rare complication of mitral valve replacement with the CarboMedics prosthesis: a "stuck" leaflet detected by transesophageal echocardiography even though weaning from cardiopulmonary bypass had been uneventful. The patient was immediately managed without significant problems. We emphasize the importance of performing routine intraoperative transesophageal echocardiography in valve replacement as well as in valve repair, from the initial phase of operation.




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