Distortion of the CoreValve during transcatheter aortic valve-in-valve implantation due to valve dislocation

Cardiovasc Revasc Med. 2013 Sep-Oct;14(5):294-8. doi: 10.1016/j.carrev.2013.05.004. Epub 2013 Aug 9.

Abstract

Nowadays transcatheter aortic valve implantation (TAVI) is an accepted alternative to surgical aortic valve replacement for high-risk patients (pts). Successful TAVI procedures for failed aortic surgical bioprosthesis (TAV-in-SAV) have already been reported. In the presented two cases of TAV-in-SAV implantation a strut distortion of the stent was revealed on angiographic imaging and confirmed on control CT scan. In both procedures, a dislocation of the medtronic core valve (MCV) prosthesis during implantation led to valve retrieval, with a necessity of reloading it in the 18F introducer before subsequent implantation of the same valve in correct position.

Keywords: Bioprosthetic; CoreValve distortion; Transcatheter aortic valve implantation; Valve-in-valve.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / instrumentation*
  • Foreign-Body Migration / diagnosis
  • Foreign-Body Migration / etiology
  • Foreign-Body Migration / therapy*
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Prosthesis Design
  • Prosthesis Failure*
  • Recurrence
  • Tomography, X-Ray Computed
  • Treatment Outcome