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

Corresponding Author:s1711590@s.tsukuba.ac.jp

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Yuichiro Kaminishi
University of Tsukuba
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Toru Tsukada
University of Tsukuba
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Motoo Osaka
University of Tsukuba
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HIROAKI SAKAMOTO
University of Tsukuba
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Bryan Mathis
University of Tsukuba
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Yasusuki Suzuki
Tsukuba Daigaku Igaku Iryokei
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Yuji Hiramatsu
University of Tsukuba
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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.
Mar 2022Published in General Thoracic and Cardiovascular Surgery volume 70 issue 3 on pages 292-294. 10.1007/s11748-021-01749-4