title: Sequential CoreValve implantation for a mal-positioned prosthesis during transcatheter aortic valve implantation.
abstract: Transcatheter aortic-valve implantation is rapidly emerging as an effective, safe, and sustainable alternative for a specific subset of high-surgical risk and/or inoperable patients with severe aortic stenosis. However, technical challenges remain for this relatively new procedure, not the least mal-positioning of the transcatheter prosthesis resulting in acute aortic regurgitation. We report a case of deep implantation of a CoreValve prosthesis that was inadvertently pulled out of the aortic annulus during repositioning. The patient received a second sequential CoreValve successfully.
authors.affiliation: Department of Cardiology/Angiology, HELIOS Klinikum Siegburg, Siegburg, Germany. seahing@gmail.com
authors.forename: Sea Hing
authors.initials: SH
authors.lastname: Ong
authors.forename: Ralf
authors.initials: R
authors.lastname: Mueller
authors.forename: Ulrich
authors.initials: U
authors.lastname: Gerckens
mesh_terms: D000369:Aged, 80 and over; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D002404:Catheterization; D017023:Coronary Angiography; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015641:Radiography, Interventional; D016896:Treatment Outcome