PMID: 29762930May 16, 2018Paper

Cusp Tear of Trifecta™ Aortic Bioprosthesis Resulting in Acute Heart Failure

The Journal of Heart Valve Disease
Anne-Kristin SchaeferDominik Wiedemann

Abstract

Herein is presented the case of an 83-year-old male patient in cardiogenic shock with acute aortic regurgitation that occurred six years after aortic valve replacement (AVR) with a 23 mm Trifecta™ valve. Prosthesis endocarditis was initially suspected because of a floating structure attached to the aortic valve that was visible on echocardiography. Emergency redo-AVR surgery was performed, but no signs of endocarditis were found intraoperatively. Hence, cusp tearing of the implanted bioprosthesis was considered to be the reason for the severe aortic regurgitation.

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