Ventricular prosthesis embolization during transapical aortic valve implantation: the role of transesophageal echocardiography in diagnosis and management

Gabor Erdoes; Peter Wenaweser; Alexander Kadner; Reto Basciani; Thierry Carrel; Balthasar Eberle

doi:10.1016/j.echo.2010.06.012

Ventricular prosthesis embolization during transapical aortic valve implantation: the role of transesophageal echocardiography in diagnosis and management

J Am Soc Echocardiogr. 2011 Feb;24(2):227.e1-4. doi: 10.1016/j.echo.2010.06.012. Epub 2010 Jul 21.

Authors

Gabor Erdoes¹, Peter Wenaweser, Alexander Kadner, Reto Basciani, Thierry Carrel, Balthasar Eberle

Affiliation

¹ Department of Anesthesiology and Pain Therapy, University Hospital Bern, Bern, Switzerland. [email protected]

PMID: 20650604
DOI: 10.1016/j.echo.2010.06.012

Abstract

The authors present the case of an 81-year-old patient with severe aortic stenosis who experienced left ventricular embolization of an aortic bioprosthesis during transapical aortic valve implantation. The authors discuss reasons for prosthesis embolization and reinforce the attention to technical details and the widespread use of multimodality imaging techniques. In this context, transesophageal echocardiography appears indispensable in the detection and management of procedure-related complications.

Publication types

Case Reports

MeSH terms

Aged
Aortic Valve / diagnostic imaging*
Aortic Valve / surgery*
Echocardiography, Transesophageal / methods*
Embolism / diagnostic imaging*
Embolism / etiology*
Embolism / surgery
Heart Valve Prosthesis / adverse effects*
Heart Valve Prosthesis Implantation / adverse effects
Humans
Male
Surgery, Computer-Assisted / methods*
Treatment Outcome