Chest Blunt Trauma: An Uncommon Cause of Aortic Stentless Bioprosthesis Dysfunction

Alberto Repossini; Laura Giroletti; Fabrizio Rosati; Ermanna Chiari; Giovanni Corsetti; Claudio Muneretto

doi:10.1016/j.athoracsur.2014.11.014

Chest Blunt Trauma: An Uncommon Cause of Aortic Stentless Bioprosthesis Dysfunction

Ann Thorac Surg. 2015 Sep;100(3):1094-6. doi: 10.1016/j.athoracsur.2014.11.014.

Authors

Alberto Repossini¹, Laura Giroletti², Fabrizio Rosati², Ermanna Chiari³, Giovanni Corsetti⁴, Claudio Muneretto²

Affiliations

¹ Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy. Electronic address: [email protected].
² Division of Cardiac Surgery, University of Brescia Medical School, Brescia, Italy.
³ Division of Cardiology, University of Brescia Medical School, Brescia, Italy.
⁴ Division of Anatomy, University of Brescia Medical School, Brescia, Italy.

PMID: 26354639
DOI: 10.1016/j.athoracsur.2014.11.014

Abstract

Acute leaflet rupture occurred in a Freedom Solo (Sorin Group, Milan, Italy) pericardial stentless aortic bioprosthesis after chest blunt trauma 8 years after valve replacement. Intraoperative findings revealed an acute tear of the right cusp at the level of the structural suture line. Pericardial leaflets were not degenerated at histologic analysis. Reoperation was easy, with simple removal of the prosthetic cusps, and a sutureless Perceval (Sorin Group) bioprosthesis was successfully implanted. This is the first reported case of an acute rupture of a stentless aortic bioprosthesis after a chest blunt trauma and the first histologic analysis of an 8-year-old Freedom Solo.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aortic Valve / surgery*
Bioprosthesis*
Heart Valve Prosthesis*
Humans
Male
Prosthesis Design
Prosthesis Failure / etiology*
Thoracic Injuries / complications*
Wounds, Nonpenetrating / complications*