[HSF] Lost leaflet

[Ani Anyanwu]

Dr Frater I witnessed a similar case during my training about 7 years ago.
 
The case was a patient with a St Jude mitral valve having a rereplacement for paravalvar leak (extremely common in London because, I believe of the widespread use of semicontinuous prolene suture technique). In process of extracting the valve the surgeon grasped one of the leaflets with a tonsil (or robert's) clamp. At some point the leaflet dislocated off the hinge mechanism. When we eventually got the valve out we noted one of the discs was now missing. We searched the left atrium, opened the aorta and even did a left ventriculotomy and could not find the rogue leaflet. The patient did okay and till today we do not know where that leaflet ended up. I do not recall whether we got a CT scan.
 
Ani



> From: Rwmfglycar at aol.com> Date: Tue, 23 Oct 2007 20:09:25 -0400> To: OpenHeart-L at lists.hsforum.com> CC: > Subject: [HSF] Lost leaflet> > I recently heard of the following case.> A leaflet was lost during the rereplacement of a bileaflet mechanical valve > that was out in its second decade after implantation. Two days postop a CT > scan located the leaflet at the bifurcation of the calcified aorta. There were > no symptoms. Four days after surgery two stents were placed and on follow up > CT scan the leaflet was thought to be between a stent and the proximal iliac > artery. The patient tolerated the procedures well and was discharged in > stable condition.> Comments?> Bob> > > > ************************************** See what's new at http://www.aol.com> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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