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Radiologic search for embolized leaflets of prosthetic heart valves: A report of two cases

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Abstract

In a radiologic search for embolized leaflets of Edwards-Duromedics bileaflet valves in 2 patients, the embolized fragments were localized in the iliac vessels using computed tomography. Sonography was successful in one case and standard X-ray films of the abdomen were negative in both cases.In vitro investigations with Björk-Shiley and Edwards-Duromedics leaflets suggested that standard X-ray films of the abdomen and pelvis should be considered as the first investigational technique. If negative, computed tomography of the lower abdomen should be done.

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References

  1. Lindblom D, Björk V, Semb B (1986) Mechanical failure of the Björk-Shiley valve. J Thorac Cardiovasc Surg 92:894–907

    PubMed  CAS  Google Scholar 

  2. Dubernet J, Irarrazaval M, Urzua J, Maturana G, Moran S, Lema G, Asenjo F, Fajuri A (1986) Disc dislodgement in Björk-Shiley mitral valve prosthesis: Two successfully operated cases. Clin Cardiol 9:73–76

    Article  PubMed  CAS  Google Scholar 

  3. Hjelms E (1983) Escape of a leaflet from a St. Jude medical prosthesis in the mitral position. Thorac Cardiovasc Surg 31:310–312

    Article  PubMed  CAS  Google Scholar 

  4. Hasse J (1983) Escaped leaflet in a St. Jude medical mitral prosthesis. In De Bakey ME (ed) Advances in cardiac valves: Clinical perspectives, New York, pp 115–123

    Google Scholar 

  5. Odell J, Durandt J, Shama D, Vythilinum S (1985) Spontaneous embolization of a St. Jude prosthetic mitral valve leaflet. Ann Thorac Surg 39:570–572

    Article  Google Scholar 

  6. Mok CH, Lee J, Kong S, Hui K (1985) Experience with outlet strut fracture of the Björk-Shiley convexoconcave mitral valve prosthesis. Am Heart J 110:814–818

    Article  PubMed  CAS  Google Scholar 

  7. Miccolo ML, Lemole G, Spagna P (1985) Late strut fracture and disc embolization in a 27 mm Björk-Shiley mitral valve prosthesis. Am Heart J 110:898–899

    Article  PubMed  CAS  Google Scholar 

  8. Mehlmann D, Resnekov L (1978) A guide to the radiographic identification of prosthetic heart valves. Circulation 57:613–623

    Google Scholar 

  9. Mehlmann D (1984) A guide to the radiographic identification of prosthetic heart valves: An addendum. Circulation 69:102–105

    Google Scholar 

  10. Davis PK, Myers JL, Penock JL, Thiele BL (1985) Strut fracture and disc embolization in Björk-Shiley mitral valve prostheses: Diagnoses and management. Ann Thorac Surg 40:65–68

    Article  PubMed  CAS  Google Scholar 

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Schurawitzki, H., Hajek, P.C., Kramer, J. et al. Radiologic search for embolized leaflets of prosthetic heart valves: A report of two cases. Cardiovasc Intervent Radiol 12, 10–13 (1989). https://doi.org/10.1007/BF02577118

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  • DOI: https://doi.org/10.1007/BF02577118

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