Key result
Urgent valve replacement plus surgical disc retrieval successfully manages Duromedics pivot fractures.
Why the study?
Embolization of parts of mechanical valves, specifically hemileaflet embolization from Duromedics bileaflet prostheses due to pivot fracture, has been reported but remains a rare complication requiring detailed case description.
Comparison
Replacement of malfunctioning prostheses and surgical removal of embolised disc
Design
Case report
Follow-up
Patients doing well to-date after hospital discharge
Authors
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Duromedic mitral prosthesis pivot fractures may cause acute embolization and regurgitation; leaves open durability surveillance needs for legacy valves.
Case Report (n=2)
Embolization of a hemileaflet from a Duromedic mitral valve prosthesis can be successfully managed with prompt valve replacement and surgical retrieval of the embolized disc.
Kumar et al. (1991) conducted a case report in Leaflet embolisation from Duromedics valves (n=2). Valve replacement and surgical removal of embolised disc was evaluated on Successful management and survival. Replacement of the malfunctioning Duromedics prosthesis and surgical removal of the embolised disc successfully managed two cases of hemileaflet embolization due to pivot fracture.
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