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. 1975;2(3):331–339.

A SECOND CASE OF LATE EMBOLIZATION OF PROSTHETIC MITRAL VALVE OCCLUDER WITH SURVIVAL FOLLOWING REOPERATION

Adib H Sabbagh 1, James E O'Hare 1, Lee I Schocket 1, James N Pinckley 1
PMCID: PMC287564  PMID: 15215920

Abstract

A 51-year-old male with acute fulminating pulmonary edema and cardiogenic shock secondary to severe mitral insufficiency from dislodgment of the disc occluder in a Wada-Cutter valve was treated by immediate open heart procedure with a Bjork-Shiley mitral valve replacement. The patient survived and remains well.

This is the second patient reported to survive operation and replacement of a malfunctioning prosthetic mitral valve from which the poppet escaped and embolized. The first case was reported by Hughes et al1 in February, 1975. Some striking similarities, as well as differences, in these two cases are discussed.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Björk V. O. Experience with the Wada-Cutter valve prosthesis in the aortic area. One-year follow-up. J Thorac Cardiovasc Surg. 1970 Jul;60(1):26–33. [PubMed] [Google Scholar]
  2. Bonnabeau R. C., Jr, Lillehei C. W. Mechanical "ball failure" in Starr-Edwards prosthetic valves. A report of three cases. J Thorac Cardiovasc Surg. 1968 Aug;56(2):258–264. [PubMed] [Google Scholar]
  3. Deal P., Elliott L. P., Bartley T. D., Wheat M. W., Jr, Ramsey H. W. Quantitative left ventriculography in the immediate postoperative period after aorto-coronary bypass. J Thorac Cardiovasc Surg. 1973 Jul;66(1):1–11. [PubMed] [Google Scholar]
  4. Hairston P., Summerall C. P., Muller W. H., Jr Embolization of silastic ball from Starr-Edwards prosthesis: case report and comments. Ann Surg. 1967 Nov;166(5):817–819. doi: 10.1097/00000658-196711000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hameed K., Ashfaq S., Waugh D. O. Ball fracture and extrusion in Starr-Edwards aortic valve prosthesis with dissemination of ball material. Arch Pathol. 1968 Nov;86(5):520–524. [PubMed] [Google Scholar]
  6. Hughes D. A., Leatherman L. L., Norman J. C., Cooley D. A. Late embolization of prosthetic mitral valve occluder with survival following reoperation. Ann Thorac Surg. 1975 Feb;19(2):212–215. doi: 10.1016/s0003-4975(10)64005-2. [DOI] [PubMed] [Google Scholar]
  7. Messmer B. J., Rothlin M., Senning A. Early disc dislodgment. An unusual complication after insertion of a Björk-Shiley mitral valve prosthesis. J Thorac Cardiovasc Surg. 1973 Mar;65(3):386–390. [PubMed] [Google Scholar]
  8. Newman M. M., Hoffman M. S., Gesink M. H. Mechanical failure of Starr-Edwards aortic prosthesis due to ball fracture. J Thorac Cardiovasc Surg. 1967 Mar;53(3):398–400. [PubMed] [Google Scholar]

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