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Ann Thorac Surg 2001;71:1366-1369
© 2001 The Society of Thoracic Surgeons


Case report

Fracture-embolization of Duromedics valve prosthesis and microscopic uncommon lesions

Etienne Tatou, MDa, Mountajab Saleh, MDa, Jean Christophe Eicher, MDb, Roger Brenot, MDa, Michel David, MDa

a Service de Chirurgie Cardio-vasculaire, Centre Hospitalier Universitaire de Dijon, Dijon, France
b Service de Cardiologie, Centre Hospitalier Universitaire de Dijon, Dijon, France

Accepted for publication May 2, 2000.

Address reprint requests to Dr Tatou, Service de Chirurgie Cardio-Vasculaire, 2 Bd maréchal de Lattre de Tassigny, BP 1542, 21034 Dijon, France
e-mail: etatou{at}ipac.fr

We report a sudden leaflet fracture of a Duromedics mitral valve 6 years after implantation. The patient had cardiogenic shock and complained of asthenia, orthopnea, and tachycardia. Transesophageal echocardiography showed the lack of one leaflet of the prosthesis and regurgitation. An emergency mitral replacement was successfully performed. Angiographic computed tomography scan localized the sequestrum that embolized the common iliac arteries. Examination of the deficient prosthesis showed multiple lesions and, in particular, a subsurface lesion that may be characteristic of carbon pyrolytic valves.




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