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June 28, 1976

Aortic Insufficiency: A Result of Intermittent Migration of Aortic Valve Prosthesis Poppet

Author Affiliations

From the Department of Surgery, New York Medical College-Flower and Fifth Avenue Hospitals, New York.

JAMA. 1976;235(26):2847-2848. doi:10.1001/jama.1976.03260520041022

A bizarre mechanism of aortic valve incompetence was observed when the occluder of a Braunwald-Cutter aortic valve prosthesis decreased in diameter, volume, and weight, and from time to time fell into the left ventricle. The patient's symptoms were palpitation, coughing, choking sensations, and fright. An operation disclosed a small, smooth ball with disrupted cloth on all the struts. The residual torn mesh was removed, and the ball was replaced.

(JAMA 235:2847-2848, 1976)