Severe intraprosthetic regurgitation by immobile leaflet after trans-catheter aortic valve implantation

被引：30

作者：

Al-Attar, Nawwar ^{[1
]}

Himbert, Dominique ^{[2
]}

Vahanian, Alec ^{[2
]}

Nataf, Patrick

机构：

[1] Univ Paris 07, Hop Bichat, Serv Chirurg Cardiaque, Dept Cardiac Surg,AP HP, F-75877 Paris 18, France

[2] Univ Paris 07, Hop Bichat, Dept Cardiol, AP HP, F-75877 Paris 18, France

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2011年 / 39卷 / 04期

关键词：

Trans-catheter valves; Complications; Aortic valve;

D O I：

10.1016/j.ejcts.2010.08.007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aortic regurgitation mainly in the form of paravalvular leaks is a frequent complication of trans-catheter aortic valve implantation (TAVI). We describe a case of an 86-year-old woman with severe aortic stenosis, who underwent trans-apical TAVI with a 23-mm Edwards-SAPIEN valve. Immediately post-implantation, severe intravalvular leak was observed on trans-esophageal echocardiogram (TEE) due to an immobile cusp associated with left-ventricular distension and cardiovascular collapse. Despite successfully treating the leak with the implantation of a second valve of the same diameter within the first one, the hemodynamic status remained unstable. Peripheral extracorporeal membrane oxygenation (ECMO) was established but resulted in a fatal outcome due to intractable heart failure. (C) 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

引用

页码：591 / 592

页数：2

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