Transcatheter aortic valve implantation and left ventricular assist device: a word of caution.

Parry, Dominic; Rao, Vivek; Butany, Jagdish; Catrip, Jorge; Wilson, William; McDonald, Michael; Billia, Phyllis Filio; Horlick, Eric et al. · Ann Thorac Surg · 2014

case_report · Level V

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Abstract

Aortic valve disease in the setting of a left ventricular assist device presents unique challenges. We present the case of a patient who underwent transcatheter aortic valve implantation to replace a stenotic aortic valve to facilitate left ventricular assist device explantation. Thirty-three days later, the porcine pericardial valve cusps were fused and a thick pseudomembrane had occluded the left ventricular outflow tract, forcing the explant to be aborted.

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