Highlights a rare case of sudden late leaflet dehiscence in a bovine bioprosthesis presenting with symptoms mimicking COVID-19, emphasizing the need for echocardiography in such presentations.
Answers are grounded in this paper and cite their sources.
Acute HF in bioprosthesis patients warrants echocardiography; leaves open incidence and predictors of late pericardial cusp dehiscence.
Symptoms mimicking COVID-19 infection, pulmonary emboli, or septicemia delayed diagnosis of aortic bioprosthesis failure. A 71-year-old man was admitted emergently with shortness of breath, fever, cough, and chest pain. Echocardiography performed after 2 days showed diastolic regurgitation in an aortic perimount pericardial bioprosthesis implanted 12 years previously. An urgent reoperation disclosed that one pericardial cusp was torn from the stent of the valve. We have not previously encountered sudden pericardial leaflet dehiscence of an internally mounted pericardial valve that caused heart failure and found no literature report like our finding.
No takes yet. Share an insight, caveat, or question.
Ivert et al. (2021) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: