Subannular prosthetic valve embolization complicating transapical transcatheter aortic valve implantation: management without sternotomy

Jaya Chandrasekhar; Chris Glover; Talal Al-atassi; Marc Ruel; Rachel McPhedran; Sean Dickie; Ian Burwash; Marino Labinaz; Buu-Khanh Lam

doi:10.1016/j.cjca.2014.10.038

Subannular prosthetic valve embolization complicating transapical transcatheter aortic valve implantation: management without sternotomy

Can J Cardiol. 2015 Feb;31(2):227.e7-9. doi: 10.1016/j.cjca.2014.10.038. Epub 2014 Nov 6.

Authors

Jaya Chandrasekhar¹, Chris Glover², Talal Al-atassi³, Marc Ruel³, Rachel McPhedran⁴, Sean Dickie⁵, Ian Burwash⁶, Marino Labinaz¹, Buu-Khanh Lam³

Affiliations

¹ Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
² Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: [email protected].
³ Department of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
⁴ Department of Biomedical Science, University of Ottawa, Ottawa, Ontario, Canada.
⁵ Department of Cardiac Anesthesia, University of Ottawa Heart Institute, Ottaw, Ontario, Canada.
⁶ Department of Cardiac imaging, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.

PMID: 25661562
DOI: 10.1016/j.cjca.2014.10.038

Abstract

Transapical transcatheter aortic valve implantation can be complicated by subannular device embolization. We describe 2 cases of transapical extraction without conversion to sternotomy, with a discussion of contributing factors and our strategy for salvage.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aged
Aged, 80 and over
Aortic Valve Stenosis / surgery*
Cardiac Catheterization
Device Removal
Echocardiography, Transesophageal
Embolism / diagnosis
Embolism / etiology*
Embolism / surgery
Fatal Outcome
Heart Valve Prosthesis*
Humans
Male
Prosthesis Failure
Transcatheter Aortic Valve Replacement / adverse effects*