Transapical aortic valve-in-valve-in-valve implantation as a procedural rescue option.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23272851.
- Also identified by DOI 10.1016/j.athoracsur.2012.05.063.
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Abstract
Device malposition and dysfunction with resultant severe aortic insufficiency are known complications of transcatheter aortic valve implantation (TAVI). Fortunately, these complications can often be successfully treated with a transcatheter valve-in-valve (VinV) implantation. However, prosthetic leaflet dysfunction or immobility from the VinV configuration can lead to severe central aortic insufficiency. We report the first known case of implantation of a third SAPIEN prosthesis (Edwards Lifesciences, Irvine, CA) during TAVI as a valuable bailout strategy to deal with severe aortic insufficiency after VinV implantation.
Medical subject headings
- Aortic Valve
- Aortic Valve Insufficiency
- Aortic Valve Stenosis
- Bioprosthesis
- Cardiac Catheterization
- Heart Valve Prosthesis Implantation