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Ann Thorac Surg 2009;88:672-674. doi:10.1016/j.athoracsur.2009.01.023
© 2009 The Society of Thoracic Surgeons
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Thomas J. Vander Salm
Ann J. Toran
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Case Reports

Severe, Transient Aortic Insufficiency After Bovine Pericardial Aortic Valve Replacement: A Cautionary Note

Thomas J. Vander Salm, MDa,*, Ann J. Toran, MDa, Wilfred Lewis, MDb, Johanna O'Connorb

a Department of Cardiac Surgery, North Shore Medical Center, Salem, Massachusetts
b Department of Anesthesia, North Shore Medical Center, Salem, Massachusetts

Accepted for publication January 12, 2009.

* Address correspondence to Dr Vander Salm, North Shore Medical Center, 81 Highland Ave, Salem, MA 01970 (Email: tvandersalm{at}partners.org).

Three patients demonstrated severe, central aortic insufficiency noted immediately upon removal of the aortic cross clamp after aortic valve replacement with a bovine pericardial Edwards Magna valve. After maintaining left ventricular decompression, the aortic insufficiency resolved in less than 1 hour. Knowledge of this phenomenon will prevent unnecessary prosthetic valve explantation and re-replacement.




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