A survivor of late prosthesis migration and rotation following percutaneous transcatheter aortic valve implantation.
Transcatheter aortic valve implantation (TAVI) has emerged as a viable alternative endovascular technique in selected patients with severe aortic stenosis, who are either inoperable or at high risk for surgical aortic valve replacement. We report a case of delayed displacement and rotation of an aortic bioprosthesis, 43 days after successful TAVI via the transfemoral approach, with the patient surviving the subsequent open heart surgery required for device retrieval.
Department of Cardiothoracic Surgery,  National Heart Centre, Singapore,  Singapore.
Philip Y K
PY
Pang
Paul T L
PT
Chiam
Yeow Leng
YL
Chua
Yoong Kong
YK
Sin
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000379:methods; D020878:Device Removal; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D011475:Prosthesis Failure; D012399:Rotation