Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation. - 2013

Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006

Transcatheter aortic valve implantation is a novel therapeutic approach for high-risk patients with severe symptomatic aortic stenosis. The success rate of this new procedure is high; however, procedural complications can occur and may result in devastating outcomes. Here, we report a case of transfemoral catheter aortic valve implantation using the Edwards SAPIEN valve complicated by severe intravalvular leak due to immobile cusp associated with shock. We treated with a second valve that embolized and deployed in the descending aorta. A third valve was then deployed within the first with elimination of aortic regurgitation and immediate hemodynamic improvement. Copyright 2012 Wiley Periodicals, Inc.


English

1522-1946


*Aortic Valve Insufficiency/et [Etiology]
*Aortic Valve Stenosis/th [Therapy]
*Cardiac Catheterization/ae [Adverse Effects]
*Foreign-Body Migration/et [Etiology]
*Heart Valve Prosthesis
*Heart Valve Prosthesis Implantation
*Prosthesis Failure
Aged, 80 and over
Aortic Valve Insufficiency/di [Diagnosis]
Aortic Valve Insufficiency/pp [Physiopathology]
Aortic Valve Insufficiency/th [Therapy]
Aortic Valve Stenosis/di [Diagnosis]
Aortic Valve Stenosis/pp [Physiopathology]
Aortography
Cardiac Catheterization/is [Instrumentation]
Device Removal
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Foreign-Body Migration/di [Diagnosis]
Foreign-Body Migration/pp [Physiopathology]
Foreign-Body Migration/th [Therapy]
Heart Valve Prosthesis Implantation/ae [Adverse Effects]
Heart Valve Prosthesis Implantation/is [Instrumentation]
Humans
Male
Prosthesis Design
Severity of Illness Index
Treatment Outcome


MedStar Heart & Vascular Institute


Case Reports
Journal Article