Dehiscence of aortic valve prostheses: analysis of a ten-year experience

Rizzoli, Giulio; Russo, R; Valente, Serafina; Mazzucco, Alessandro; Valfré, Carlo; Brumana, T.; Aru, Giorgio M.; Rubino, Maurizio; Rocco, Francesco; Gallucci, Vincenzo

doi:10.1016/0167-5273(84)90355-3

Cited by 17 publications

(17 citation statements)

References 13 publications

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“…It is a serious complication with a high risk of mortality, historically the complication is known to occur in up to 5% of valve replacement procedures [2]. The causes of this complications can be infectious, non-infectious, degenerative or due to technical factors at the time of surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The 30 day mortality for the surgery is as high as 27% and the 6 year survival rate only 13.5% [2]. Expeditious surgery may not be possible in setting of complications from septic embolization such as mycotic aneurysms and hemorrhagic strokes [8].…”

Section: Discussionmentioning

confidence: 99%

“…The causes of this complications can be infectious, non-infectious, degenerative or due to technical factors at the time of surgery. The most important risk factor is infective endocarditis other major risk factors include aneurysm of the ascending aorta, degenerative regurgitations and severe calcification of the native valve [2].…”

Section: Discussionmentioning

confidence: 99%

“…Less common causes include technical factors such as using continuous suture instead of interrupted sutures and noninfectious aortitis [2,3].…”

Section: Discussionmentioning

confidence: 99%

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Right Sided Heart Failure-An Unusual Presentation of Aortic Valve Dehiscence

Edupuganti¹

2015

J Health Med Informat

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Aortic dehiscence is an uncommon but serious complication of aortic valve surgery. The most common presentation is that of congestive heart failure and or cardiogenic shock. A number of other local complications can ensue due to involvement of the fibrous skeleton of the heart. We present a case where the dehiscence of the aortic valve resulted in elevated pulmonary arterial pressures and right sided heart failure due to the involvement of the right ventricular outflow tract. We review the literature focusing on the causes, summarize the diagnostic findings and the local complications that can result from aortic dehiscence. This complication of aortic valve dehiscence has not been reported so far.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Less common causes include technical factors such as using continuous suture instead of interrupted sutures and noninfectious aortitis [2,3].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Right Sided Heart Failure-An Unusual Presentation of Aortic Valve Dehiscence

Edupuganti¹

2015

J Health Med Informat

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“…In addition, infection, suturing technique, and size and shape of the prosthesis are known to affect the risk of leaking [12,13]. The most common cause of dehiscence is bacterial endocarditis [14]. Early development of paravalvular aortic regurgitation can be associated with surgical technique and prostheses, and late development of paravalvular aortic regurgitation is mainly caused by dehiscence related to infective endocarditis [13].…”

Section: Cviamentioning

confidence: 99%

Postoperative Complications after Surgical Aortic Valve Replacement

Koo

Lee

Anh

et al. 2017

Cardiovasc Imaging Asia

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Aortic valve replacement is one of the most common major cardiac surgeries worldwide. Despite improvements in surgical techniques, postoperative complications after aortic valve surgery remain a source of substantial morbidity and mortality. Although transthoracic echocardiography and transesophageal echocardiography have been used for routine surveillance of prosthetic heart valves, computed tomography (CT) has played an important role with echocardiography in the diagnosis, treatment, and follow-up of patients after valve replacement. CT has the advantage of evaluating the extent of disease, such as paravalvular dehiscence, abscess, and pseudoaneurysm, in aortic prosthetic valves. In this article, we review the various image findings of postoperative complications after aortic valve replacement detected on CT.

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