AIM: Transcatheter aortic valve implantation (TAVI) is considered an alternative therapy in high risk patients with severe aortic stenosis. Despite this, such a minimally invasive procedure is not free from complications. CASE REPORT: An 86-year-old woman underwent a 26-mm SAPIEN TAVI for aortic valve stenosis. Procedure was complicated by valve embolization into the ascending aorta likely due to a sub-optimal positioning of prosthesis during its deployment. Patient was treated by surgical removal of stent-valve and conventional valve replacement. Patient was discharged from hospital 7 days after surgery. At six months follow-up she was asymptomatic and the valve had a good competence with a mean transaortic gradient of 8 mmHg. CONCLUSIONS: After TAVI prosthesis embolization, conversion to conventional surgical treatment is imperative and can be associated with excellent outcome

Cuttone, F., Ivascau, C., Grollier, G., Massetti, M., Distal embolization of Edwards SAPIEN prosthesis during transcatheter aortic valve implantation, <<IL GIORNALE DI CHIRURGIA>>, 2013; 34 (9-10): 275-277. [doi:10.11138/gchir/2013.34.9.275] [http://hdl.handle.net/10807/60777]

Distal embolization of Edwards SAPIEN prosthesis during transcatheter aortic valve implantation

Massetti, Massimo
2013

Abstract

AIM: Transcatheter aortic valve implantation (TAVI) is considered an alternative therapy in high risk patients with severe aortic stenosis. Despite this, such a minimally invasive procedure is not free from complications. CASE REPORT: An 86-year-old woman underwent a 26-mm SAPIEN TAVI for aortic valve stenosis. Procedure was complicated by valve embolization into the ascending aorta likely due to a sub-optimal positioning of prosthesis during its deployment. Patient was treated by surgical removal of stent-valve and conventional valve replacement. Patient was discharged from hospital 7 days after surgery. At six months follow-up she was asymptomatic and the valve had a good competence with a mean transaortic gradient of 8 mmHg. CONCLUSIONS: After TAVI prosthesis embolization, conversion to conventional surgical treatment is imperative and can be associated with excellent outcome
2013
Inglese
Cuttone, F., Ivascau, C., Grollier, G., Massetti, M., Distal embolization of Edwards SAPIEN prosthesis during transcatheter aortic valve implantation, <<IL GIORNALE DI CHIRURGIA>>, 2013; 34 (9-10): 275-277. [doi:10.11138/gchir/2013.34.9.275] [http://hdl.handle.net/10807/60777]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/60777
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