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A Case of Fatal Mechanical Mitral Valve Leaflet Fracture Embolization: A Case Report
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Won Yik Lee, Jong Myeon Hong, Jang Whan Bae
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Korean J Crit Care Med. 2011;26(2):101-104.
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DOI: https://doi.org/10.4266/kjccm.2011.26.2.101
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 Abstract
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- The fracture embolization of a mechanical valve is a very rare but potentially fatal event that can cause acute severe valve regurgitation and subsequent decompensated heart failure. Generally, the mechanical valve is durable and semi-permanent. If this is not the case, bacterial endocarditis can occur. However, leaflet fracture embolizations related to mechanical failure may occur in the specific mechanical valve brands associated with the subjects own structural fragilities. In this case, we dealt with a case of fatal Edward-Duromedics mechanical mitral valve leaflet fracture embolization that had been implanted 20 years ago. The patient presented with severe acute heart failure and shock. Severe transvalvular mitral regurgitation and only one valve leaflet was observed in echocardiography.
Although the emergency mitral valve replacement was performed under the diagnosis with valve leaflet fracture embolization, the patient was not resuscitated from systolic pump failure and died.
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Citations
Citations to this article as recorded by  - A rare case series of mechanical prosthetic heart valve structural deterioration presented as severe mitral regurgitation
Jignesh Kothari, Sandip Lukhi, Utkarsh Sanghavi, Devvrat Desai, Ishan Gohil
Heart, Vessels and Transplantation.2023; 7(Issue 4): 278. CrossRef - An unusual cause of acute mitral regurgitation in TTK Chitra heart valve prosthesis
Muthukumar Sundaram, Aayush Poddar, Ancy Robinson, Soundaravalli Balakrishnan, Muralidharan Srinivasan, Chandrasekar Padmanabhan
Indian Journal of Thoracic and Cardiovascular Surgery.2021; 37(5): 546. CrossRef
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