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.