Severe valvular regurgitation and late prosthesis embolization after percutaneous aortic valve implantation.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19161796.
- Also identified by DOI 10.1016/j.athoracsur.2008.06.059.
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Abstract
We report the case of a 79-year-old man with low-flow, low-gradient aortic stenosis who underwent transapical aortic valve implantation. The deployment of a 26-mm Edwards SAPIEN valve (Edwards Lifesciences Inc, Irvine, CA) was complicated with the occurrence of severe central aortic regurgitation that was successfully treated with the implantation of a second valve ("valve-in-valve"). Postoperative progress was satisfactory but 2 days after the procedure he suddenly developed cardiogenic shock secondary to the migration of the aortic bioprothesis into the left ventricular outflow tract. Open-heart surgery was undertaken to remove the valves and perform standard aortic valve replacement, but the patient died perioperatively.
Medical subject headings
- Aortic Valve Insufficiency
- Aortic Valve Stenosis
- Heart Valve Prosthesis Implantation
- Prosthesis Failure
- Shock, Cardiogenic
- Thrombosis