Conflict of interest: Nothing to report
Valvular and Structural Heart Diseases
Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation
Article first published online: 4 MAY 2012
Copyright © 2012 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 81, Issue 2, pages 392–396, February 2013
How to Cite
Ben-Dor, I., Satler, L. F., Pichard, A. D. and Waksman, R. (2013), Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation. Cathet. Cardiovasc. Intervent., 81: 392–396. doi: 10.1002/ccd.24320
- Issue published online: 19 FEB 2013
- Article first published online: 4 MAY 2012
- Manuscript Accepted: 3 JAN 2012
- Manuscript Received: 8 DEC 2011
- transcatheter aortic valve;
- aortic stenosis
Transcatheter aortic valve implantation is a novel therapeutic approach for high-risk patients with severe symptomatic aortic stenosis. The success rate of this new procedure is high; however, procedural complications can occur and may result in devastating outcomes. Here, we report a case of transfemoral catheter aortic valve implantation using the Edwards SAPIEN valve complicated by severe intravalvular leak due to immobile cusp associated with shock. We treated with a second valve that embolized and deployed in the descending aorta. A third valve was then deployed within the first with elimination of aortic regurgitation and immediate hemodynamic improvement. © 2012 Wiley Periodicals, Inc.