title: Severe aortic insufficiency after transapical aortic valve implantation.
abstract: We report the dislocation of a stented aortic valve prosthesis two weeks after the uneventful transapical implantation in a female who had underwent mitral valve replacement and CABG six years before. The initial implantation of the Edwards Sapien aortic valve prosthesis (Edwards Lifesciences, Irvine, CA), as well as the postoperative recovery, was uneventfully. At the sixth postoperative day, the patient developed a progressive heart failure due to a severe aortic insufficiency. During conventional aortic valve replacement, the dislocated prosthesis was found in the left ventricle. After uncomplicated postoperative recovery, the patient could be discharged in a good physical condition. Preexisting mitral valve prosthesis seems to be an important, complicating goal for transcatheter aortic valve implantation.
authors.affiliation: Department of Cardiac and Vascular Surgery, Robert Bosch Hospital, Stuttgart, Germany. hardy.baumbach@rbk.de
authors.forename: Hardy
authors.initials: H
authors.lastname: Baumbach
authors.forename: Stephan
authors.initials: S
authors.lastname: Hill
authors.forename: Matthias
authors.initials: M
authors.lastname: Hansen
authors.forename: Ulrich F W
authors.initials: UF
authors.lastname: Franke
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006328:Cardiac Catheterization; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D008943:Mitral Valve / Q000601:surgery; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D012307:Risk Factors; D015607:Stents; D056346:Sternotomy