Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation

Itsik Ben-Dor, Lowell F Satler, Augusto D Pichard, Ron Waksman
Catheterization and Cardiovascular Interventions 2013, 81 (2): 392-6
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.

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