title: Traumatic rupture of Ionescu-Shiley aortic valve after the Heimlich maneuver.
abstract: A 74-year-old woman who had undergone aortic valve replacement with an Ionescu-Shiley bioprosthesis was evaluated and treated because aortic insufficiency developed after the application of the Heimlich maneuver. Pathologic examination of the explanted valve disclosed a cuspid perforation and an adjacent tear of a second cusp at its insertion into the valve strut. Patients with unexplained acute prosthetic insufficiency should be questioned as to whether the Heimlich maneuver has been previously performed.
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000628:therapy*; D001021:Aortic Valve; D001705:Bioprosthesis; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D011475:Prosthesis Failure; D012151:Resuscitation; D012421:Rupture