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Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation
Author(s) -
BenDor Itsik,
Satler Lowell F.,
Pichard Augusto D.,
Waksman Ron
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24320
Subject(s) - medicine , regurgitation (circulation) , embolization , aortic valve , cardiology , stenosis , aortic valve stenosis , hemodynamics , surgery , leak , environmental engineering , engineering
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. © 2012 Wiley Periodicals, Inc.