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(Chest. 1977;71:44-46.)
© 1977 American College of Chest Physicians

Systemic Embolization of the Disk Occluder of the Wada-Cutter Prosthetic Valve

A Late Complication

John W. Schaeffer M.D.1; Steven D. Marks M.D.1; Phillip S. Wolf M.D., F.C.C.P.1; David Shander M.D., F.C.C.P.1; Lane D. Craddock M.D.1; and S. Gilbert Blount Jr. M.D.1

1 From the Division of Cardiology, General Rose Memorial Hospital and the University of Colorado Medical Center, Denver

The results in 22 patients in the Denver area with Wada-Cutter prostheses were reviewed. There were 14 late deaths, with an average follow-up of six years. Four cases of valve malfunction not related to thrombosis were documented. There were three cases of embolization of the occluder. A survivor is reported. Clinical evaluation of the group suggested new mitral regurgitation to be a sensitive indicator of impending embolization of the occluder. Documentation of valve malfunction warrants valvular replacement.






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Copyright © 1977 by the American College of Chest Physicians.