title: Subannular prosthetic valve embolization complicating transapical transcatheter aortic valve implantation: management without sternotomy.
abstract: Transapical transcatheter aortic valve implantation can be complicated by subannular device embolization. We describe 2 cases of transapical extraction without conversion to sternotomy, with a discussion of contributing factors and our strategy for salvage.
authors: Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Jaya
authors: J
authors: Chandrasekhar
authors: Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada. Electronic address: cglover@ottawaheart.ca.
authors: Chris
authors: C
authors: Glover
authors: Department of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Talal
authors: T
authors: Al-atassi
authors: Department of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Marc
authors: M
authors: Ruel
authors: Department of Biomedical Science, University of Ottawa, Ottawa, Ontario, Canada.
authors: Rachel
authors: R
authors: McPhedran
authors: Department of Cardiac Anesthesia, University of Ottawa Heart Institute, Ottaw, Ontario, Canada.
authors: Sean
authors: S
authors: Dickie
authors: Department of Cardiac imaging, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Ian
authors: I
authors: Burwash
authors: Department of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Marino
authors: M
authors: Labinaz
authors: Department of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Buu-Khanh
authors: BK
authors: Lam
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization; D020878:Device Removal; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D065467:Transcatheter Aortic Valve Replacement / Q000009:adverse effects*