Cardiogenic Shock Due to Leaflet Migration of On-X Aortic Mechanical Prosthesis

Cardiogenic shock is a life-threatening condition requiring fast and efficient diagnostic and therapeutic measures. In this case, the history of several cardiac surgeries hindered finding the correct diagnosis initially. After an ultima ratio cardiac redo operation the underlying cause was found int...

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Published inThe Annals of thoracic surgery Vol. 110; no. 3; pp. e199 - e200
Main Authors Göbel, Nora, Tanriverdi, Sara, Nagib, Ragi, Franke, Ulrich F.W.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.09.2020
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Summary:Cardiogenic shock is a life-threatening condition requiring fast and efficient diagnostic and therapeutic measures. In this case, the history of several cardiac surgeries hindered finding the correct diagnosis initially. After an ultima ratio cardiac redo operation the underlying cause was found intraoperatively: a defective mechanical valve prosthesis with migration of one of the two leaflets. Strikingly, this happened with a contemporary On-X prosthesis only 4 years after implantation. Timely echocardiography is of utmost importance in patients with prosthetic heart valves presenting in heart failure.
Bibliography:ObjectType-Case Study-2
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2020.01.023