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How to manage left ventricular embolization of the transcatheter valve.

Čanádyová J, Mokráček A, Pešl L, Kurfirst V - Kardiochir Torakochirurgia Pol (2015)

Bottom Line: We describe a case of a rare but serious complication in the form of ventricular embolization of an Edwards Sapien-XT aortic valve following its transapical implantation.The valve was successfully captured and reimplanted into the aortic annulus, which did not require conversion to median sternotomy or use of extracorporeal circulation.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Hospital České Budějovice, Czech Republic.

ABSTRACT
Transcatheter aortic valve implantation is a treatment alternative for high-risk patients with severe aortic stenosis who are not eligible for conventional open aortic valve replacement. We describe a case of a rare but serious complication in the form of ventricular embolization of an Edwards Sapien-XT aortic valve following its transapical implantation. The valve was successfully captured and reimplanted into the aortic annulus, which did not require conversion to median sternotomy or use of extracorporeal circulation.

No MeSH data available.


Related in: MedlinePlus

A) Balloon valvuloplasty. B) Valve introduction. C) Valve release and expansion
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Figure 0001: A) Balloon valvuloplasty. B) Valve introduction. C) Valve release and expansion

Mentions: The procedure was performed under general anesthesia. The valve was inserted transapically in a standard fashion. Aortic balloon valvuloplasty (Fig. 1A) was conducted to split the valve commissures during rapid pacing. Following the balloon valvuloplasty, a stented 29 mm Edwards Sapien XT valve (Edwards Lifesciences, Irvine, CA) crimped onto a delivery balloon was advanced over a wire into the aortic annulus during rapid ventricular pacing (Fig. 1B). When the positioning was considered correct, the prosthesis was released, and the device was initially expanded to its full diameter of 29 mm (Fig. 1C).


How to manage left ventricular embolization of the transcatheter valve.

Čanádyová J, Mokráček A, Pešl L, Kurfirst V - Kardiochir Torakochirurgia Pol (2015)

A) Balloon valvuloplasty. B) Valve introduction. C) Valve release and expansion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4520510&req=5

Figure 0001: A) Balloon valvuloplasty. B) Valve introduction. C) Valve release and expansion
Mentions: The procedure was performed under general anesthesia. The valve was inserted transapically in a standard fashion. Aortic balloon valvuloplasty (Fig. 1A) was conducted to split the valve commissures during rapid pacing. Following the balloon valvuloplasty, a stented 29 mm Edwards Sapien XT valve (Edwards Lifesciences, Irvine, CA) crimped onto a delivery balloon was advanced over a wire into the aortic annulus during rapid ventricular pacing (Fig. 1B). When the positioning was considered correct, the prosthesis was released, and the device was initially expanded to its full diameter of 29 mm (Fig. 1C).

Bottom Line: We describe a case of a rare but serious complication in the form of ventricular embolization of an Edwards Sapien-XT aortic valve following its transapical implantation.The valve was successfully captured and reimplanted into the aortic annulus, which did not require conversion to median sternotomy or use of extracorporeal circulation.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiac Surgery, Hospital České Budějovice, Czech Republic.

ABSTRACT
Transcatheter aortic valve implantation is a treatment alternative for high-risk patients with severe aortic stenosis who are not eligible for conventional open aortic valve replacement. We describe a case of a rare but serious complication in the form of ventricular embolization of an Edwards Sapien-XT aortic valve following its transapical implantation. The valve was successfully captured and reimplanted into the aortic annulus, which did not require conversion to median sternotomy or use of extracorporeal circulation.

No MeSH data available.


Related in: MedlinePlus