Distortion of the CoreValve during transcatheter aortic valve-in-valve implantation due to valve dislocation.
Nowadays transcatheter aortic valve implantation (TAVI) is an accepted alternative to surgical aortic valve replacement for high-risk patients (pts). Successful TAVI procedures for failed aortic surgical bioprosthesis (TAV-in-SAV) have already been reported. In the presented two cases of TAV-in-SAV implantation a strut distortion of the stent was revealed on angiographic imaging and confirmed on control CT scan. In both procedures, a dislocation of the medtronic core valve (MCV) prosthesis during implantation led to valve retrieval, with a necessity of reloading it in the 18F introducer before subsequent implantation of the same valve in correct position.
Department of Cardiology, Gabriel Montpied Hospital, CHU Clermont-Ferrand, Clermont-Ferrand, France; ERIM-EA3295, University of Auvergne, Clermont-Ferrand, France. Electronic address: gsouteyrand@chu-clermontferrand.fr.
Geraud
G
Souteyrand
Krzysztof
K
Wilczek
Andrea
A
Innorta
Lionel
L
Camilleri
Piotr
P
Chodor
Jean-René
JR
Lusson
Pascal
P
Motreff
Jean-Claude
JC
Laborde
Pascal
P
Chabrot
Nicolas
N
Durel
D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000009:adverse effects / Q000295:instrumentation*; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Bioprosthetic; CoreValve distortion; Transcatheter aortic valve implantation; Valve-in-valve