Intraoperative Diagnosis of a Stuck Bioprosthetic Valve Leaflet Due to a Loop of Suture After Mitral Valve Replacement

A stuck mechanical valve leaflet is a well-known cardiovascular complication; however, a stuck bioprosthetic valve is a rare but potentially fatal complication. Herein a case of stuck bioprosthetic mitral valve caused by a loop of suture, which was detected on intraoperative 3-dimensional (3D) trans...

Full description

Saved in:
Bibliographic Details
Published inJournal of cardiothoracic and vascular anesthesia Vol. 35; no. 6; pp. 1830 - 1832
Main Authors Takeshita, Jun, Akiyama, Koichi, Anada, Natsuki, Nakajima, Yasufumi
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2021
Subjects
3-dimensional transesophageal echocardiography
bioprosthetic valve
mitral valve
Stuck leaflet
suture loop jamming
mitral valve
3-dimensional transesophageal echocardiography
bioprosthetic valve
Stuck leaflet
suture loop jamming
Online AccessGet full text

Cover

More Information
Summary:A stuck mechanical valve leaflet is a well-known cardiovascular complication; however, a stuck bioprosthetic valve is a rare but potentially fatal complication. Herein a case of stuck bioprosthetic mitral valve caused by a loop of suture, which was detected on intraoperative 3-dimensional (3D) transesophageal echocardiography immediately after cardiopulmonary bypass, is presented. Restricted motion of the 2 leaflets during diastole and incomplete coaptation during systole were observed clearly on 3D imaging. Thus, intraoperative 3D transesophageal echocardiography imaging is useful for detecting such complications immediately after cardiopulmonary bypass.
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2020.07.007