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Prosthetic Valve Leaflet Perforation resulting in Critical Aortic Insufficiency: A Rare Late Complication after use of COR-KNOT
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  • Sankalp P. Patel,
  • Robert J. Cubeddu,
  • Stephen E. D’Orazio,
  • Brian J. Solomon
Sankalp P. Patel
NCH Healthcare System
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Robert J. Cubeddu
NCH Healthcare System
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Stephen E. D’Orazio
NCH Healthcare System
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Brian J. Solomon
NCH Healthcare System
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Abstract

The implementation of automatic fasteners such as the Cor-knot ® device (LSI Solutions, Inc.) has revolutionized the field of minimally invasive valvular surgery. Nonetheless, paravalvular regurgitation, valvular embolization, and early leaflet perforation are all potential complications which may occur. Late manifestations of leaflet perforation (>5-year post-implantation) are rare. Herein, we discuss a patient who underwent remote Trifecta ® (St. Jude, Inc.) surgical aortic valve replacement (SAVR) presenting with symptomatic critical aortic regurgitation secondary to leaflet perforation from automatically fastened metallic Cor-knot ® sutures.
02 Aug 2022Submitted to Journal of Cardiac Surgery
02 Aug 2022Assigned to Editor
02 Aug 2022Submission Checks Completed
03 Aug 2022Reviewer(s) Assigned