Key result
Trifecta bioprosthesis linked to acute heart failure from early cusp tear at 24 months.
Why the study?
The Trifecta bioprosthetic valve provides excellent hemodynamics and low incidence of structural valve deterioration, but early cusp tear causing severe aortic regurgitation is rare and clinically significant.
Comparison
Trifecta valve vs new porcine bioprosthesis replacement
Design
Case report
Follow-up
24 months
Authors
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Early Trifecta cusp prolapse signals need for close post-AVR surveillance; leaves open durability questions in larger cohorts.
Case Report (n=1)
The Trifecta bioprosthesis may be susceptible to early structural valve deterioration from pure cusp tear, necessitating clinical vigilance.
Hamamoto et al. (2016) conducted a case report in Structural valve deterioration (n=1). Trifecta bioprosthetic heart valve was evaluated on Structural valve deterioration (cusp tear). A 76-year-old woman developed acute heart failure due to early structural valve deterioration from a pure cusp tear 24 months after aortic valve replacement with a 21-mm Trifecta bioprosthesis.
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