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 outcomeI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.