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Ann Thorac Surg. 2009 Aug;88(2):672-4. doi: 10.1016/j.athoracsur.2009.01.023.

Severe, transient aortic insufficiency after bovine pericardial aortic valve replacement: a cautionary note.

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1
Department of Cardiac Surgery, North Shore Medical Center, Salem, Massachusetts 01970, USA. tvandersalm@partners.org

Abstract

Three patients demonstrated severe, central aortic insufficiency noted immediately upon removal of the aortic cross clamp after aortic valve replacement with a bovine pericardial Edwards Magna valve. After maintaining left ventricular decompression, the aortic insufficiency resolved in less than 1 hour. Knowledge of this phenomenon will prevent unnecessary prosthetic valve explantation and re-replacement.

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