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Early Structural Valve Deterioration and Cusp Tear Leading to Acute Heart Failure in a Second-Generation Trifecta
Akiyoshi Yamamoto1, Kenji Kuwaki2, Hidekazu Furuya1
1Department of Cardiovascular Surgery, Tokai University Hachioji Hospital, Tokyo, Japan.
Abstract:
This report highlights a case of early structural valve deterioration with a cusp tear in a second-generation Abbott Trifecta Glide Technology bioprosthetic heart valve. A 70-year-old man had undergone aortic valve replacement with a Trifecta Glide Technology valve 30 months earlier for severe bicuspid aortic valve stenosis. He suddenly developed acute heart failure with dyspnea resulting from severe aortic valve regurgitation, with a cusp tear in the Trifecta Glide Technology valve, as demonstrated by transthoracic echocardiography. The patient was successfully treated with urgent repeat aortic valve replacement.
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