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Case Reports
. 2021 Apr 1;97(5):955-958.
doi: 10.1002/ccd.29279. Epub 2020 Oct 10.

A novel technique to manage transcatheter aortic valve embolization

Kunal K Chawla  1 , Xiangke Huang  1 , Neal Hadro  1 , Ashequl M Islam  1
Affiliations
Case Reports

A novel technique to manage transcatheter aortic valve embolization

Kunal K Chawla et al. Catheter Cardiovasc Interv. .

Abstract

We report a case of a 69-year-old male who was planned for a transcatheter aortic valve replacement (TAVR) with a 26 mm Sapien 3 Valve (Edwards Lifesciences, Irvine, California) for the treatment of symptomatic severe aortic stenosis. During rapid ventricular pacing and implantation of the TAVR valve, there was a loss of pacing capture and subsequent embolization of the valve into the aortic arch. Retrieval of the embolized valve was attempted unsuccessfully using several techniques. Finally, by using a 34 mm Evolut R Valve (Medtronic, Minneapolis, Minnesota), we were able to secure the embolized valve in the transverse segment of the aortic arch without compromising the branch vessels. To our knowledge, this is the first reported case of using a valve-in-valve approach to fixate an embolized valve in the transverse aorta.

Keywords: aortic stenosis; aortic valve disease; embolized valve rescue; structural heart disease.

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References

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