Distal embolization of Edwards SAPIEN prosthesis during transcatheter aortic valve implantation

Cuttone, Fabio and Ivascau, C. and Grollier, G. and Massetti, Massimo (2013) Distal embolization of Edwards SAPIEN prosthesis during transcatheter aortic valve implantation. Il giornale di chirurgia, 34 (9/10). pp. 275-277. ISSN 1971-145X

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Abstract

Aim. Transcatheter aortic valve implantation (TAVI) is considered an alternative therapy in high risk patients with severe aortic stenosis. Despite this, such a minimally invasive procedure is not free from complications. Case report. An 86-year-old woman underwent a 26-mm SAPIEN TAVI for aortic valve stenosis. Procedure was complicated by valve embolization into the ascending aorta likely due to a sub-optimal positioning of prosthesis during its deployment. Patient was treated by surgical removal of stent-valve and conventional valve replacement. Patient was discharged from hospital 7 days after surgery. At six months follow-up she was asymptomatic and the valve had a good competence with a mean transaortic gradient of 8 mmHg. Conclusions. After TAVI prosthesis embolization, conversion to conventional surgical treatment is imperative and can be associated with excellent outcome.

Item Type:	Article
Uncontrolled Keywords:	Transcatheter aortic valve implantation, Aortic valve replacement, Transfemoral aortic valve implantation
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	13 Sep 2019 08:46
Last Modified:	13 Sep 2019 08:46
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8646

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