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Eur J Cardiothorac Surg 1999;15:867-869
© 1999 Elsevier Science NL


Case report

Leaflet escape in Omnicarbon monoleaflet valve

A. Kornberg, Stephen M. Wildhirt, C. Schulze, E. Kreuzer

Department of Cardiac Surgery Klinikum Großhadern, Ludwig-Maximilian-University, Marchioninistraße 15, 81377 Munich, Germany

Received 16 November 1998; received in revised form 22 February 1999; accepted 11 March 1999.

Corresponding author. Tel.: +49-89-70952433 or 2633; fax: +49-89-70958898

In almost every type of artificial valve, mechanical disruption has been described. We present the first case of leaflet fracture with aortic embolization in an Omnicarbon monoleaflet valve 42 months after implantation. The 22-year-old male patient suffered of acute respiratory insufficiency and was referred to our hospital as an emergency case. Until a few days before presentation, he was in good condition without clinical complaints. By means of transesophageal echocardiography (TEE) and abdominal sonography the diagnosis of leaflet fracture with embolization to the abdominal aorta could be made. The patient underwent consecutive operative valve replacement and foreign body extraction that resulted in a complete recovery.

Key Words: Omnicarbon valve • Mechanical valve • Leaflet fracture • Embolization




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Copyright © 1999 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.