Elsevier

The American Journal of Cardiology

Volume 180, 1 October 2022, Pages 163-164
The American Journal of Cardiology

Bail-Out Implantation of an Embolized Balloon-Expandable Transcatheter Heart Valve in the Aortic Arch Using Self-Expandable Stents

https://doi.org/10.1016/j.amjcard.2022.06.041Get rights and content

Embolization of a balloon expandable valve during transcatheter aortic valve implantation (TAVR) is a rare complication which generally can be managed by implantation of the embolized valve into the aorta. We present a TAVR case where the combination of an ascending aortic aneurysm and a narrow aortic arch precluded implantation of an embolized balloon-expandable valve into either the ascending and descending aorta. As a bailout strategy, the embolized valve was secured in the aortic arch using two self-expandable stents. Six month after the procedure, computed tomography confirmed a stable valve position with unobstructed blood flow into the supra-aortic arteries.

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Disclosures

Henryk Dreger reports a relationship with Edwards Lifesciences Corporation and Abbott Cardiovascular Cardiovascular Structural Heart Division that includes consulting or advisory and funding grants.

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