Severe valvular regurgitation and late prosthesis embolization after percutaneous aortic valve implantation

Authors: Clavel, Marie-Annick; Dumont, Éric; Pibarot, Philippe; Doyle, Daniel; De Larochellière, Robert; Villeneuve, JacquesBergeron, SébastienCouture, ChristianRodés-Cabau, Josep
Abstract: We report the case of a 79-year-old man with low-flow, low-gradient aortic stenosis who underwent transapical aortic valve implantation. The deployment of a 26-mm Edwards SAPIEN valve (Edwards Lifesciences Inc, Irvine, CA) was complicated with the occurrence of severe central aortic regurgitation that was successfully treated with the implantation of a second valve (“valve-in-valve”). Postoperative progress was satisfactory but 2 days after the procedure he suddenly developed cardiogenic shock secondary to the migration of the aortic bioprothesis into the left ventricular outflow tract. Open-heart surgery was undertaken to remove the valves and perform standard aortic valve replacement, but the patient died perioperatively.
Document Type: Article de recherche
Issue Date: 19 January 2009
Open Access Date: Restricted access
Document version: VoR
This document was published in: Annals of Thoracic Surgery, Vol. 87 (2) 618-621 (2009)
Elsevier Science
Alternative version: 10.1016/j.athoracsur.2008.06.059
Collection:Articles publiés dans des revues avec comité de lecture

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