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Rapidly deteriorated failure of Carpentier-Edwards porcine bioprosthesis caused by three detached commissures: Report of a case

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Abstract

A 58-year-old man required an emergency redo mitral valve replacement due to a rapidly deteriorating failure of the Carpentier-Edwards porcine bioprosthesis only a few days after the initial operation. The removed bioprosthesis showed that its three commissures had all peeled off each stent, which may have occurred within a short time, and caused massive, rapidly progressive trans-bioprosthesic regurgitation.

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References

  1. Gallucci V, Bortolotti U, Milano A, Valfre C, Mazzucco A, Thiene G (1984) Isolated mitral valve replacement with the Hancock bioprosthesis. A 13-year appraisal. Ann Thorac Surg 38:571–578

    Google Scholar 

  2. Magilligan DJ Jr, Lewis JW Jr, Tilley B, Peterson E (1985) The porcine bioprosthetic valve. Twelve years later. J Thorac Cardiovasc Surg 89:499–507

    Google Scholar 

  3. Jamieson WRE, Janusz MT, Miyagishma RT, Munro AI, Gerein AN, Allen P, Burr LH, MacNab J, Chan F, Tyers GFO (1988) The Carpentier-Edwards standard porcine bioprosthesis. Long-term evaluation of the high pressure glutaraldehyde fixed prosthesis. J Cardiovasc Surg 3 (3 Suppl):321–336

    Google Scholar 

  4. Oyer PE, Miller DC, Stinson EB, Reitz BA, Moreno-Cabral RJ, Shumway NE (1980) Clinical durability of the Hancock porcine bioprosthesis. J Thorac Cardiovasc Surg 80:824–833

    Google Scholar 

  5. Gallo I, Ruiz B, Duran CG (1984) Isolated mitral valve replacement with the Hancock porcine bioprosthesis in rheumatic heart disease. Analysis of 213 operative survivors followed up 4.5 to 8.5 years. Am J Cardiol 53:178–181

    Google Scholar 

  6. Milano A, Bortolotti U, Talenti E, Valfre C, Arbustini E, Valente M, Mazzucco A, Gallucci V, Thiene G (1984) Calcific degeneration as the main cause of porcine bioprosthetic valve failure. Am J Cardiol 53:1066–1070

    Google Scholar 

  7. Bortolotti U, Milano A, Mazzucco A, Valfre C, Talenti E, Guerra F, Thiene G (1985) Results of reoperation for primary tissue failure of porcine bioprostheses. J Thorac Cardiovasc Surg 90:564–569

    Google Scholar 

  8. Ferrans VJ, Tomita Y, Hilbert SL, Jones M, Robert WC (1987) Pathology of bioprosthetic cardiac valves. Hum Pathol 18:586–595

    Google Scholar 

  9. Nistal F, Garcia-Satue E, Artinano E, Duran CGM, Gallo I (1986) Comparative study of primary tissue valve failure between Ionescu-Shiley pericardial and Hancock porcine valves in the aortic position. Am J Cardiol 57:161–164

    Google Scholar 

  10. Walley VW, Rubens FD, Campagna RT, Pipe AL, Keon WL (1991) Patterns of failure in Hancock pericardial bioprostheses. J Thorac Cardiovasc Surg 102:187–194

    Google Scholar 

  11. Husebye DG, Pluth JR, Pichler JM, Schaff HV, Orszulak TA, Puga FJ, Danielson GK (1983) Reoperation on prosthetic heart valves. An Analysis of risk factors in 552 patients. J Thorac Cardiovasc Surg 86:543–552

    Google Scholar 

  12. Syracuse DC, Bowman FO, Maim JR (1979) Prosthetic valve reoperations. Factors influencing early and late survival. J Thorac Cardiovasc Surg 77:346–354

    Google Scholar 

  13. Ferrans VJ, Spray TL, Billingham M, Roberts W (1978) Structural changes in glutaraldehyde-treated porcine heterografts used as substitute cardiac valves. Am J Cardiol 41:1159–1184

    Google Scholar 

  14. Spray TL, Roberts WC (1977) Structural changes in porcine xenografts used as substitute cardiac valves. Am J Cardiol 40:319–330

    Google Scholar 

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Terada, Y., Wanibuchi, Y. Rapidly deteriorated failure of Carpentier-Edwards porcine bioprosthesis caused by three detached commissures: Report of a case. Surg Today 24, 823–825 (1994). https://doi.org/10.1007/BF01636314

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  • DOI: https://doi.org/10.1007/BF01636314

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