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Elective valve‐in‐valve implantation for migration of a corevalve in a patient with bicuspid aortic valve stenosis
Author(s) -
Tanaka Yutaka,
Tanaka Masashi,
Saito Shigeru
Publication year - 2015
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.25796
Subject(s) - medicine , bicuspid aortic valve , stenosis , cardiology , bicuspid valve , aortic valve , prosthesis , surgery
Transcatheter aortic valve implantation for bicuspid aortic valve stenosis (BAVS) is controversial, as its unfavorable anatomy may lead to device dislocation or malfunctioning. If device failure occurs, the bailout intervention can be more complex and technically challenging. We here report a unique case of late migration of a CoreValve (Medtronic, MN) implanted in a patient with BAVS, who was successfully treated with elective valve‐in‐valve implantation using the first valve as a firm scaffold after waiting for it to adhere at the migrated position. This new strategy may represent a useful salvage option for some patients with prosthesis migration. © 2015 Wiley Periodicals, Inc.