Butt Salman Pervaiz, Sherif Ahmed, Hakemi Emad, Bhatnagar Gopal, Mapara Khubaib
Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
Banner University Medical Center, Tucson, Arizona.
Ann Thorac Surg Short Rep. 2024 Jan 26;2(2):266-269. doi: 10.1016/j.atssr.2023.12.018. eCollection 2024 Jun.
Mechanical valve leaflets have the potential to detach and migrate to unintended locations, leading to life- and limb-threatening situations. We report a unique case of a dislodged mechanical aortic valve leaflet in the right iliac artery bifurcation after a redo mitral valve replacement. This was promptly recognized by input from a multidisciplinary team, allowing immediate correction of the aortic valve insufficiency followed by staged retrieval of the dislodged leaflet to avoid vascular complications. This case highlights the importance of a multidisciplinary team in decision-making and timely intervention. Further research is needed for better understanding of risk factors and prevention strategies.
机械瓣膜小叶有可能脱离并迁移到意外位置，从而导致危及生命和肢体的情况。我们报告了一例在二尖瓣再次置换术后右髂动脉分叉处机械主动脉瓣小叶移位的独特病例。多学科团队的意见迅速识别出了这一情况，从而能够立即纠正主动脉瓣关闭不全，随后分阶段取出移位的小叶以避免血管并发症。该病例凸显了多学科团队在决策和及时干预中的重要性。需要进一步研究以更好地了解风险因素和预防策略。
