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Rapidly deteriorated failure of Carpentier-Edwards porcine bioprosthesis caused by three detached commissures: Report of a case
Authors:Yasushi Terada  Yasuhiko Wanibuchi
Institution:(1) Department of Cardiovascular Surgery, Mitsui Memorial Hospital, 1 Izumi, Kanda, 103 Chiyoda-ku, Tokyo, Japan
Abstract:A 58-year-old man required an emergency redo mitral valve replacement due to a rapidly deteriorating failure of the Carpentier-Edwards porcine bioprosthesis only a few days after the initial operation. The removed bioprosthesis showed that its three commissures had all peeled off each stent, which may have occurred within a short time, and caused massive, rapidly progressive trans-bioprosthesic regurgitation.
Keywords:Carpentier-Edwards bioprosthesis  primary tissue failure  commissural detachment
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