Nonstructural dysfunction of prosthetic heart valves

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Nonstructural dysfunction of prosthetic heart valves Nonstructural dysfunction of prosthetic heart valves. (A) Paravalvular leak adjacent to mitral valve prosthesis (arrow). (B) Tissue overgrowth compromising inflow orifice of porcine bioprosthesis. (C) Tissue overgrowth incorporating and resultant retraction and obliteration of bioprosthetic valve cusps. (D) Immobility of tilting disk leaflet by impingement of retained component of submitral apparatus (arrow) that had moved through orifice late following mitral valve replacement surgery. (E) Suture (arrow) looped around central strut of a Hall-Medtronic tilting disk valve causing disk immobility. ([A and C] Reproduced with permission from Schoen FJ: Pathologic considerations in replacement heart valves and other cardiovascular prosthetic devices, in Schoen FJ, Gimbrone MA [eds]: Cardiovascular Pathology: Clinicopathologic Correlations and Pathogenetic Mechanisms. Philadelphia, Williams & Wilkins, 1995; p 194. [B] Reproduced with permission from Schoen FJ, et al: Pathologic considerations in substitute heart valves. Cardiovasc Pathol 1992; 1:29. [D] Reproduced with permission from Schoen FJ: Pathology of cardiac valve replacement, in Morse D, Steiner RM, Fernandez J [eds]: Guide to Prosthetic Cardiac Valves. New York, Springer-Verlag, 1985; p 209. Nonstructural dysfunction of prosthetic heart valves. [E] Photo courtesy of Office of the Chief Medical Examiner, New York City.) Source: Chapter 5. Cardiovascular Pathology, Cardiac Surgery in the Adult, 4e Citation: Cohn LH. Cardiac Surgery in the Adult, 4e; 2012 Available at: http://accesscardiology.mhmedical.com/DownloadImage.aspx?image=/data/books/cohn4/cohn4_c005f024d.png&sec=39680030&BookID=476&ChapterSecID=39679016&imagename= Accessed: November 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved