Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1990-5-14
pubmed:abstractText
We report a case of leaflet embolisation consequent upon a hemicircumferential fracture of the pyrolytic valve housing of a 29 mm mitral Duromedics Valve implanted for seven months. The clinical presentation is discussed and the literature on mechanical valve failure compared. Unlike pivoting disc valves where absent valve clicks equate with serious occluder dysfunction, valve sounds may persist with bileaflet valve malfunction due to the unimpeded movement of the normally functioning second leaflet. Whilst intrinsic structural failure is increasingly uncommon constant clinical awareness of its occurrence in a patient with a mechanical valve presenting with unexplained acute heart failure and pulmonary oedema, and prompt surgical intervention offers the best chance of survival. The aetiology of the primary fracture in this case remains unclear.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0021-9509
pubmed:author
pubmed:issnType
Print
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
41-6
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:articleTitle
Fracture of the Duromedics mitral valve housing with leaflet escape.
pubmed:affiliation
Department of Cardiothoracic Surgery, St. Thomas' Hospital, London, U.K.
pubmed:publicationType
Journal Article, Review, Case Reports