Severe, transient aortic insufficiency after bovine pericardial aortic valve replacement: a cautionary note.
Three patients demonstrated severe, central aortic insufficiency noted immediately upon removal of the aortic cross clamp after aortic valve replacement with a bovine pericardial Edwards Magna valve. After maintaining left ventricular decompression, the aortic insufficiency resolved in less than 1 hour. Knowledge of this phenomenon will prevent unnecessary prosthetic valve explantation and re-replacement.
Vander Salm
Thomas J
TJ
Department of Cardiac Surgery, North Shore Medical Center, Salem, Massachusetts 01970, USA. tvandersalm@partners.org
Toran
Ann J
AJ
Lewis
Wilfred
W
O'Connor
Johanna
J
D000368:Aged; D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017755:Prosthesis Fitting; D013536:Suture Techniques; D013997:Time Factors