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

MedStar author(s):
Citation: Catheterization & Cardiovascular Interventions. 81(2):392-6, 2013 Feb.PMID: 22566389Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Case Reports | Journal ArticleSubject headings: *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 OutcomeYear: 2013Local holdings: Available online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006ISSN:
  • 1522-1946
Name of journal: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & InterventionsAbstract: 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.All authors: Ben-Dor I, Pichard AD, Satler LF, Waksman RFiscal year: FY2013Digital Object Identifier: Date added to catalog: 2013-09-17
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 22566389 Available 22566389

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.

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