Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

J Heart Valve Dis. 2017 Sep;26(5):592-594.

Abstract

Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta™ valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Insufficiency* / diagnosis
  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / physiopathology
  • Aortic Valve Insufficiency* / surgery
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis / adverse effects*
  • Diagnosis, Differential
  • Echocardiography / methods
  • Endocarditis / diagnosis
  • Heart Valve Prosthesis / adverse effects*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Long Term Adverse Effects* / diagnosis
  • Long Term Adverse Effects* / etiology
  • Long Term Adverse Effects* / physiopathology
  • Long Term Adverse Effects* / surgery
  • Male
  • Postoperative Complications* / diagnosis
  • Postoperative Complications* / etiology
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / surgery
  • Prosthesis Design
  • Prosthesis Failure*
  • Reoperation / methods*
  • Shock, Cardiogenic / etiology*
  • Treatment Outcome