CoreValve Double Jeopardy: Embolized Valve Capture with Subsequent Valve

Jules Joel Bakhos, Andrew M. Goldsweig

Research output: Contribution to journalArticlepeer-review

Abstract

During transcatheter aortic valve replacement with a self-expanding prosthesis, prosthesis embolization represents a rare but severe complication. Etiologies of prosthesis embolization include improper sizing and malpositioning, specifically high deployment with respect to the aortic annulus. Treatment of embolization into the aorta relies upon repositioning of the prosthesis using endovascular snares or removal with open surgery. Patients with prosthesis embolization have a high risk of mortality and morbidity including stroke and aortic dissection associated with manipulation of the prosthesis in the ascending aorta. We describe a case of self-expanding prosthesis embolization and present a solution using a second prosthesis to capture the embolized one.

Original languageEnglish (US)
Pages (from-to)365-367
Number of pages3
JournalInnovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume13
Issue number5
DOIs
StatePublished - Sep 1 2018

Keywords

  • Aortic stenosis
  • CoreValve Evolut R
  • Embolization
  • Transcatheter aortic valve replacement
  • Valve-in-valve

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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