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European Journal of Echocardiography 2008 9(1):88-91; doi:10.1016/j.euje.2007.02.010
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org.

Extensive dehiscence of a stentless bioprosthesis with only mild paravalvular regurgitation after replacement of a degenerated bicuspid aortic valve

Dirk Poppe*, Peter Blank, Uta Böge, Tatjana Kölzow, Jürgen Loh and Bernhard Schwaab

Curschmann-Klinik, Timmendorfer Strand, Germany

Received 2 February 2007; accepted after revision 14 February 2007; online publish-ahead-of-print 2 April 2007.

* Corresponding author. Curschmann-Klinik der Klinikgruppe Dr. Guth, Saunaring 6, D-23669 Timmendorfer Strand, Germany. Tel: +49 (0)4503 602 154; fax: +49 (0)4503 602 660. E-mail address: dr.poppe{at}drguth.de


  Abstract

We report the case of a 54-year-old patient admitted for rehabilitation after implantation of a stentless bioprosthesis due to severe insufficiency of a degenerated bicuspid aortic valve. The patient could fully participate in a standard cardiac rehabilitation program without any signs of haemodynamic instability. Transthoracic echocardiography showed a small mobile subvalvular structure and only mild paravalvular reflux. Transesophageal echocardiography, however, revealed extensive dehiscence of the bioprosthesis with the need for urgent reoperation. We discuss the probable causes and encourage routine echocardiography after valve operations with generous application of transesophageal echocardiography in every suspicious case.

Keywords: Echocardiography; Transesophageal; Stentless; Valve; Surgery; Complication


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