• Arch. Pathol. Lab. Med. · May 1987

    Case Reports

    Traumatic rupture of Ionescu-Shiley aortic valve after the Heimlich maneuver.

    • C S Passik, D M Ackermann, J M Piehler, and W D Edwards.
    • Arch. Pathol. Lab. Med. 1987 May 1;111(5):469-70.

    AbstractA 74-year-old woman who had undergone aortic valve replacement with an Ionescu-Shiley bioprosthesis was evaluated and treated because aortic insufficiency developed after the application of the Heimlich maneuver. Pathologic examination of the explanted valve disclosed a cuspid perforation and an adjacent tear of a second cusp at its insertion into the valve strut. Patients with unexplained acute prosthetic insufficiency should be questioned as to whether the Heimlich maneuver has been previously performed.

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