title: A 76-year old man with a torn Freedom SOLO bioprosthesis.
abstract: We describe a case of a 76-year old male who presented with progressive dyspnoea. He underwent an aortic valve replacement with a Freedom SOLO bioprosthesis 6 years ago. Transthoracic echocardiography showed a moderate-to-severe leakage of the Freedom SOLO bioprosthesis. During surgical reintervention, a partial tear of the left coronary cusp was seen from the commissure of the right coronary cusp to its base. After radiographic and microscopic examination, no clear cause was found for the failure of this Freedom SOLO bioprosthesis. To our knowledge, this is the third failure of a Freedom SOLO bioprosthesis reported in the literature. When the long-term follow-up of the Freedom SOLO bioprosthesis is available, it has to be compared with other bioprosthesis for long-term durability.
authors.affiliation: Division of Cardiothoracic Surgery, Academic Medical Center Amsterdam, Amsterdam, Netherlands.
authors.forename: Laurens W
authors.initials: LW
authors.lastname: Wollersheim
authors.forename: Wilson W
authors.initials: WW
authors.lastname: Li
authors.forename: Jan
authors.initials: J
authors.lastname: van der Meulen
authors.forename: Bas A
authors.initials: BA
authors.lastname: de Mol
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D001705:Bioprosthesis; D020878:Device Removal; D004417:Dyspnea / Q000209:etiology; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome
keywords: Aortic valve replacement; Sorin Freedom SOLO bioprosthesis; Torn bioprosthesis