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- Received March 16, 2009
- Accepted March 18, 2009
- Published online October 20, 2009.
A 69-year-old man presented with heart failure after an Alfieri stitch repair and annuloplasty ring for severe mitral regurgitation. The transthoracic echocardiogram showed the absence of the previously implanted annuloplasty ring (double arrows)and stitch repair (single arrow) (A vs. B)and severe mitral regurgitation (C vs. D, Online Video 1). On transesophageal echocardiography, the annuloplasty ring was found lodged within the lumen of the descending thoracic aorta (E, Online Video 2). Computed tomography of the aorta with 3-dimensional reconstruction confirmed the presence of the mitral annuloplasty ring in the descending aorta (F). This patient had early complete dehiscence of his mitral annuloplasty ring and a failed Alfieri repair, with embolization of the ring to the descending thoracic aorta.
- Received March 16, 2009.
- Accepted March 18, 2009.
- American College of Cardiology Foundation