Abstract
Drops in Blood Pressure Could Be a Sign of Structural Valve Failure
A 55-year-old man underwent aortic valve replacement (AVR) by 25mm Trifecta bioprosthesis for severe aortic regurgitation. Twenty-six months after surgery, he noticed decrease in daily blood pressure, especially in the diastolic phase. He did not have any other clinical symptoms, however, transthoracic echocardiogram showed severe aortic regurgitation with dehiscence of non-coronary cusp of the Trifecta valve. He underwent redo AVR. The Trifecta valve had a cusp tear along the non-coronary cusp. There was neither calcification nor pannus ingrowth. A 25mm Inspiris Resillia bio-prosthesis was implanted. Postoperative course was uneventful.