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Stein C, Maroncelli A, Bose R, Roberts SM. Transcatheter Aortic Valve Embolization in a Patient With a Left Ventricular Assist Device. CASE (PHILADELPHIA, PA.) 2024; 8:46-49. [PMID: 38425570 PMCID: PMC10899715 DOI: 10.1016/j.case.2023.11.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
•LVAD patients commonly develop AR. •TAVI is one option for improving AR. •Valve embolization and migration is possible in these patients. •TEE imaging is critical in attempting to resolve valve embolization.
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Affiliation(s)
- Cory Stein
- Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania
| | - Andrew Maroncelli
- Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania
| | - Rushil Bose
- Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania
| | - S. Michael Roberts
- Department of Anesthesiology and Perioperative Medicine, Penn State Hershey Medical Center, Hershey, Pennsylvania
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2
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Le Ruz R, Plessis J, Guimbretiere G, Roussel JC, Piriou PG, Cueff C, Maurel B, Letocart V, Manigold T. Sapien 3 Embolization From Ventricle to Aorta in the Setting of Noncalcified Aortic Regurgitation. JACC Case Rep 2021; 3:64-68. [PMID: 34317470 PMCID: PMC8305676 DOI: 10.1016/j.jaccas.2020.11.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 11/12/2020] [Accepted: 11/20/2020] [Indexed: 11/25/2022]
Abstract
Transcatheter aortic valve replacement is currently used off-label for noncalcified aortic valve regurgitation and therefore is restricted to selected cases. In this setting we describe a rare complication of Sapien 3 (Edwards Lifesciences, Irvine, California) embolization from the left ventricle to the descending aorta. Given their technical challenges, such procedures require specific considerations and management. (Level of Difficulty: Advanced.).
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Affiliation(s)
- Robin Le Ruz
- Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | - Julien Plessis
- Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | - Guillaume Guimbretiere
- Cardiothoracic Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | - Jean-Christian Roussel
- Cardiothoracic Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | | | - Caroline Cueff
- Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | - Blandine Maurel
- Vascular Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France
- Pathophysiology of Bone Resorption Laboratory (Inserm-UN UMR-957), Nantes, France
| | - Vincent Letocart
- Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
| | - Thibaut Manigold
- Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
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3
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Krapf S, von Scheidt W, Thilo C. Periprocedural embolisation of a Sapien 3 TAVI prosthesis: failure and success. Clin Res Cardiol 2019; 109:649-651. [PMID: 31784902 DOI: 10.1007/s00392-019-01573-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Accepted: 11/11/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Stephan Krapf
- Department of Cardiac and Thoracic Surgery, University Hospital Augsburg, Herzzentrum Augsburg-Schwaben, Augsburg, Germany
| | - Wolfgang von Scheidt
- Department of Cardiology, I. Medizinische Klinik, Universitätsklinikum Augsburg, Herzzentrum Augsburg-Schwaben, Stenglinstr. 2, 86156, Augsburg, Germany
| | - Christian Thilo
- Department of Cardiology, I. Medizinische Klinik, Universitätsklinikum Augsburg, Herzzentrum Augsburg-Schwaben, Stenglinstr. 2, 86156, Augsburg, Germany.
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Scarsini R, De Maria GL, Joseph J, Fan L, Cahill TJ, Kotronias RA, Burzotta F, Newton JD, Kharbanda R, Prendergast B, Ribichini F, Banning AP. Impact of Complications During Transfemoral Transcatheter Aortic Valve Replacement: How Can They Be Avoided and Managed? J Am Heart Assoc 2019; 8:e013801. [PMID: 31522627 PMCID: PMC6818016 DOI: 10.1161/jaha.119.013801] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Roberto Scarsini
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom.,Division of Cardiology Department of Medicine University of Verona Italy
| | - Giovanni L De Maria
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
| | - Jubin Joseph
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom.,Guy's and St.Thomas' Hospitals NHS Foundation Trust London United Kingdom
| | - Lampson Fan
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
| | - Thomas J Cahill
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
| | - Rafail A Kotronias
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom.,Department of Cardiovascular Medicine University of Oxford United Kingdom
| | | | - James D Newton
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
| | - Rajesh Kharbanda
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
| | | | - Flavio Ribichini
- Division of Cardiology Department of Medicine University of Verona Italy
| | - Adrian P Banning
- Oxford Heart Centre Oxford University Hospitals NHS Foundation Trust Oxford United Kingdom
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Balloon-Expandable TAVR Prosthesis Dislocates Into the Ascending Aorta. JACC Case Rep 2019; 1:101-104. [PMID: 34316759 PMCID: PMC8301255 DOI: 10.1016/j.jaccas.2019.05.026] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Revised: 05/17/2019] [Accepted: 05/22/2019] [Indexed: 11/23/2022]
Abstract
This case report underlines the complexity of the transcatheter aortic valve replacement (TAVR) procedure where rare complications sometimes are inevitable, even in experienced hands. Supra-annular dislocation of the balloon-expandable prosthesis was caused by loss of capture of the temporary transvenous pacemaker lead and treated successfully by retracting it towards the abdominal aorta. (Level of Difficulty: Advanced.).
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Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection. Case Rep Cardiol 2017; 2017:5086586. [PMID: 28540089 PMCID: PMC5429917 DOI: 10.1155/2017/5086586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2017] [Accepted: 04/12/2017] [Indexed: 11/18/2022] Open
Abstract
We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.
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