loading page

Two cases of catastrophic deterioration and multiple leaflet detachment in Trifecta valves
  • +5
  • Nanami Imai,
  • Yuichiro Kaminishi,
  • Toru Tsukada,
  • Motoo Osaka,
  • HIROAKI SAKAMOTO,
  • Bryan Mathis,
  • Yasusuki Suzuki,
  • Yuji Hiramatsu
Nanami Imai
University of Tsukuba
Author Profile
Yuichiro Kaminishi
University of Tsukuba
Author Profile
Toru Tsukada
University of Tsukuba
Author Profile
Motoo Osaka
University of Tsukuba
Author Profile
HIROAKI SAKAMOTO
University of Tsukuba
Author Profile
Bryan Mathis
University of Tsukuba
Author Profile
Yasusuki Suzuki
Tsukuba Daigaku Igaku Iryokei
Author Profile
Yuji Hiramatsu
University of Tsukuba
Author Profile

Abstract

Reports of early and catastrophic acute structural valve deterioration (SVD) in Trifecta valves (Abbott, St Paul, MN, USA) with multiple leaflet detachment are rare. We encountered two cases of early SVD in Trifecta valves with tears on two leaflets. Both cases presented with acute heart failure because of aortic insufficiency and underwent redo aortic valve replacement; one patient died due to multiple organ failure caused by cardiogenic shock. Durability issues with valves necessitate long-term vigilance in aortic valve replacement patients.