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Accurate Patient Diagnosis of Acute Porcine Valve Failure
Stephen J. Voyce, MD;
Joel M. Gore, MD;
Kevin R. Murphy, MD;
Thomas J. VanderSalm, MD;
James E. Dalen, MD
Arch Intern Med. 1987;147(3):585-586.
Abstract
• Spontaneous porcine bioprosthetic valve failure is usually of gradual onset. We report a case of acute porcine mitral valve rupture resulting in rapid hemodynamic decompensation. The patient perceived the moment of valvular failure as the abrupt onset of a vibrating sensation in his chest. As the number of patients with porcine bioprostheses continues to increase, acute valvular failure may become a more common clinical entity.
(Arch Intern Med 1987;147:585-586)
Author Affiliations
From the Departments of Medicine (Drs Voyce, Gore, Murphy, and Dalen) and Surgery (Dr VanderSalm), University of Massachusetts Medical School, Worcester.
Footnotes
Accepted for publication Aug 27, 1986.
Reprint requests to Department of Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01605 (Dr Gore).
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