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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) Valve embolization into the left ventricle. B) Reinsertion of the first valve and second valve implantation (valve-in-valve). C) Valve-in-valve: definitive result
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Figure 0002: A) Valve embolization into the left ventricle. B) Reinsertion of the first valve and second valve implantation (valve-in-valve). C) Valve-in-valve: definitive result

Mentions: The valve was embolized into the left ventricle after a few ventricular contractions (Fig. 2D). The stiff wire was left in place in order to prevent valve rotation and left ventricular outflow tract obstruction. We decided to reinsert the same deployment balloon over the wire and partially inflated the balloon within the valve between the two marks on the balloon. The balloon with the captured valve was then pushed into the aortic annulus, and its position was secured by slight balloon overdilation.


How to manage left ventricular embolization of the transcatheter valve.

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

A) Valve embolization into the left ventricle. B) Reinsertion of the first valve and second valve implantation (valve-in-valve). C) Valve-in-valve: definitive result
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0002: A) Valve embolization into the left ventricle. B) Reinsertion of the first valve and second valve implantation (valve-in-valve). C) Valve-in-valve: definitive result
Mentions: The valve was embolized into the left ventricle after a few ventricular contractions (Fig. 2D). The stiff wire was left in place in order to prevent valve rotation and left ventricular outflow tract obstruction. We decided to reinsert the same deployment balloon over the wire and partially inflated the balloon within the valve between the two marks on the balloon. The balloon with the captured valve was then pushed into the aortic annulus, and its position was secured by slight balloon overdilation.

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