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Ann Thorac Surg 2010;89:277-279. doi:10.1016/j.athoracsur.2009.06.081
© 2010 The Society of Thoracic Surgeons

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Nikolaos Bonaros
Alfred Kocher
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Case Reports

Aortic Bioprosthetic Valve Deterioration 8 Months After Implantation

Dominik Wiedemann, MD*, Nikolaos Bonaros, MD, Günther Laufer, MD, Alfred Kocher, MD

University Clinic of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria

Accepted for publication June 15, 2009.

* Address correspondence to Dr Wiedemann, University Clinic of Cardiac Surgery, Innsbruck Medical University, Anichstr. 35, Innsbruck, A-6020, Austria (Email: dominik.wiedemann{at}i-med.ac.at).

One year after aortic bioprosthetic valve replacement with a 23-mm Epic bioprosthesis (St. Jude Medical, St. Paul, MN) with concomitant coronary artery bypass grafting, early valve degeneration with leaflet calcification and stiffening was documented in a 61-year-old man. A possible reason for this extremely early deterioration could not be identified, although a xenograft reaction could be a plausible hypothesis. Consequently, a successful redo aortic valve replacement with a 21-mm Magna Ease (Carpentier-Edwards, Irvine, CA) was performed.







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