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Double Valve Failure Due to Perceval Sutureless Aortic Valve Migration
Michele Rossi1, Lucia Cristodoro2, Devotini Roger2
1Cardiac Surgery Unit, Heart Center, Grande Ospedale Metropolitano 'Bianchi-Melacrino-Morelli', Reggio Calabria, Italy. Electronic correspondence: michele.r@libero.i.
The Journal of Heart Valve Disease
|December 19, 2018
Summary
A rare case of Perceval sutureless aortic valve migration caused severe heart valve insufficiency. Prompt valve replacement restored normal heart function, emphasizing careful patient monitoring post-implantation.
Area of Science:
- Cardiovascular Surgery
- Medical Device Technology
- Cardiac Imaging
Background:
- Sutureless aortic valves offer minimally invasive options for aortic valve replacement.
- Early complications, though rare, require thorough investigation and management.
Observation:
- A 76-year-old woman presented with pulmonary edema five months post-Perceval sutureless aortic valve implantation.
- Imaging revealed the aortic valve had migrated into the left ventricle.
Findings:
- The migrated valve caused severe aortic and secondary mitral insufficiency.
- Surgical replacement with a standard bioprosthesis resolved the insufficiency and restored native mitral valve function.
Implications:
- This case represents a novel presentation of early proximal migration of the Perceval valve.
- Highlights the critical need for meticulous preoperative evaluation and diligent postoperative surveillance following sutureless aortic valve implantation.
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