Early Degeneration Caused by Cusp Tear of First-Generation Trifecta Bioprosthesis.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 29723533.
- Also identified by DOI 10.1016/j.athoracsur.2018.03.063.
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Abstract
The Trifecta aortic valve has excellent hemodynamic performance as result of an expansive valve design with a bovine pericardial sheet externally mounted on a titanium stent. We report 2 cases of early Trifecta valve degeneration, both caused by partial rupture of one of the leaflet cusps 3 and 4 years post-implant. Post discharge, both patients had routinely performed echocardiography check-ups, without signs of valve failure. Transesophageal echocardiography performed during emergency hospital readmission due to severe dyspnea revealed transvalvular aortic regurgitation without signs of endocarditis. Urgent redo-surgery was successful in both cases, replacing the Trifecta prosthesis with a different bovine bioprosthesis.
Medical subject headings
- Aortic Valve
- Aortic Valve Insufficiency
- Aortic Valve Stenosis
- Bioprosthesis
- Heart Valve Prosthesis
- Prosthesis Design
- Prosthesis Failure