Severe Valvular Regurgitation and Late Prosthesis Embolization After Percutaneous Aortic Valve Implantation

被引:45
作者
Clavel, Marie-Annick [1 ]
Dumont, Eric [1 ]
Pibarot, Philippe [1 ]
Doyle, Daniel [1 ]
De Larochelliere, Robert [1 ]
Villeneuve, Jacques [1 ]
Bergeron, Sebastien [1 ]
Couture, Christian [1 ]
Rodes-Cabau, Josep [1 ]
机构
[1] Laval Hosp, Quebec Heart Inst, Ste Foy, PQ G1V 4G5, Canada
关键词
STENOSIS;
D O I
10.1016/j.athoracsur.2008.06.059
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a 79-year-old man with low-flow, low-gradient aortic stenosis who underwent transapical aortic valve implantation. The deployment of a 26-mm Edwards SAPIEN valve (Edwards Lifesciences Inc, Irvine, CA) was complicated with the occurrence of severe central aortic regurgitation that was successfully treated with the implantation of a second valve ("valve-invalve"). Postoperative progress was satisfactory but 2 days after the procedure he suddenly developed cardiogenic shock secondary to the migration of the aortic bioprothesis into the left ventricular outflow tract. Open-heart surgery was undertaken to remove the valves and perform standard aortic valve replacement, but the patient died perioperatively.
引用
收藏
页码:618 / 621
页数:5
相关论文
共 4 条
[1]   Treatment of calcific aortic stenosis with the percutaneous heart valve - Mid-term follow-up from the initial feasibility studies: The French experience [J].
Cribier, A ;
Eltchaninoff, H ;
Tron, C ;
Bauer, F ;
Agatiello, C ;
Nercolini, D ;
Tapiero, S ;
Litzler, PY ;
Bessou, JP ;
Babaliaros, V .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 47 (06) :1214-1223
[2]   Influence of preoperative left ventricular contractile reserve on postoperative ejection fraction in low-gradient aortic stenosis [J].
Quere, JP ;
Monin, JL ;
Levy, F ;
Petit, H ;
Baleynaud, S ;
Chauvel, C ;
Pop, C ;
Ohlmann, P ;
Lelguen, C ;
Dehant, P ;
Gueret, P ;
Tribouilloy, C .
CIRCULATION, 2006, 113 (14) :1738-1744
[3]   Transapical minimally invasive aortic valve implantation; the initial 50 patients [J].
Walther, Thomas ;
Falk, Volkmar ;
Kempfert, Joerg ;
Borger, Michael A. ;
Fassl, Jens ;
Chu, Michael W. A. ;
Schuler, Gerhard ;
Mohr, Friedrich W. .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2008, 33 (06) :983-988
[4]   Percutaneous aortic valve implantation retrograde from the femoral artery [J].
Webb, JG ;
Chandavimol, M ;
Thompson, CR ;
Ricci, DR ;
Carere, RG ;
Munt, BI ;
Buller, CE ;
Pasupati, S ;
Lichtenstein, S .
CIRCULATION, 2006, 113 (06) :842-850