title: TEVAR Rescue of an Embolized Edwards SAPIEN XT Valve Following TAVR.
abstract: OBJECTIVE
  To report a successful method of managing an embolized Edwards SAPIEN XT aortic valve prosthesis using a thoracic endovascular aortic repair rescue.
  
  
  METHODS
  An 84-year-old man underwent transcatheter aortic valve replacement using a 26-mm Edwards SAPIEN XT valve, which immediately embolized into the ascending aorta. Because of the severe tapering of the patient's transverse aortic arch, the embolized valve was unable to be maneuvered further down the aorta. Therefore, a Cook 36×80-mm Zenith Dissection Endovascular System (ZDES) bare metal stent was used on a compassionate basis to append the embolized valve between the patient's coronary artery ostia and the innominate artery takeoff within the ascending aorta, with no neurological or cardiovascular complications at 12-month follow-up.
  
  
  CONCLUSIONS
  A Cook ZDES bare metal stent may be successfully used to append an embolized Edwards SAPIEN XT valve within the ascending aorta.
authors.affiliation: Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Larion
authors.affiliation: Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
authors.forename: Jason R
authors.initials: JR
authors.lastname: Moore
authors.affiliation: Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
authors.forename: Chad
authors.initials: C
authors.lastname: Ammar
authors.affiliation: Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA pannetjm@evms.edu.
authors.forename: Jean M
authors.initials: JM
authors.lastname: Panneton
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000628:therapy*; D001027:Aortography / Q000379:methods; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D057176:Compassionate Use Trials; D004617:Embolism / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D057510:Endovascular Procedures / Q000295:instrumentation; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008670:Metals; D011474:Prosthesis Design; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D008670:Metals
keywords: aortic valve; bare metal stent; device embolization; prosthetic valve; thoracic dissection stent; thoracic endovascular aortic repair; transcatheter aortic valve replacement