Two cases of catastrophic deterioration and multiple leaflet detachment in Trifecta valves.
Nanami ImaiYuichiro KaminishiToru TsukadaMotoo OsakaHiroaki SakamotoBryan James MathisYasuyuki SuzukiYuji HiramatsuPublished in: General thoracic and cardiovascular surgery (2022)
Reports of early and catastrophic acute structural valve deterioration (SVD) in Trifecta valve (Abbott, St Paul, MN, USA) with multiple leaflet detachment are rare. We encountered two cases of early SVD in Trifecta valve with tears on two leaflets. Both cases presented with acute heart failure because of aortic insufficiency, and underwent redo aortic valve replacement; one patient died due to multiple organ failure caused by cardiogenic shock. Durability issues with the Trifecta valves; thus, necessitates long-term vigilance in aortic replacement patients.
Keyphrases
- aortic valve
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- acute heart failure
- ejection fraction
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- heart failure
- liver failure
- mitral valve
- prognostic factors
- case report
- drug induced
- patient reported outcomes
- coronary artery disease
- hepatitis b virus
- coronary artery
- pulmonary artery
- ionic liquid
- atrial fibrillation
- pulmonary arterial hypertension