Emergency Valve Re-Replacement for Embolization of Prosthetic Mitral Valve Disc During Catheterization Procedure Amit Pawale, MD, Ahmed El-Eshmawi, MD,

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Presentation transcript:

Emergency Valve Re-Replacement for Embolization of Prosthetic Mitral Valve Disc During Catheterization Procedure Amit Pawale, MD, Ahmed El-Eshmawi, MD, Gilbert H.L. Tang, MD, MSc, Sharif H. Ellozy, MD, Anelechi C. Anyanwu, MD The Annals of Thoracic Surgery Volume 95, Issue 5, Pages 1784-1787 (May 2013) DOI: 10.1016/j.athoracsur.2012.09.087 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Fluoroscopy showing the embolized leaflet in the proximal descending thoracic aorta (arrow) and a single leaflet only in the prosthetic valve. The Annals of Thoracic Surgery 2013 95, 1784-1787DOI: (10.1016/j.athoracsur.2012.09.087) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative transesophageal echocardiography demonstrating severe mitral regurgitation. The Annals of Thoracic Surgery 2013 95, 1784-1787DOI: (10.1016/j.athoracsur.2012.09.087) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative photo of the mechanical mitral valve demonstrating a missing leaflet with the remaining leaflet in the closed position. The Annals of Thoracic Surgery 2013 95, 1784-1787DOI: (10.1016/j.athoracsur.2012.09.087) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Sagittal section computed tomography scan identifying the mechanical mitral valve leaflet (marked as *) located at the L3 vertebral level distal to the left renal artery in the abdominal aorta. The Annals of Thoracic Surgery 2013 95, 1784-1787DOI: (10.1016/j.athoracsur.2012.09.087) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 The embolized St. Jude mechanical mitral valve leaflet extracted from the abdominal aorta. The Annals of Thoracic Surgery 2013 95, 1784-1787DOI: (10.1016/j.athoracsur.2012.09.087) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions