Volume 77, Issue 7 pp. 1071-1075
Valvular and Structural Heart Diseases

Sequential CoreValve implantation for a mal-positioned prosthesis during transcatheter aortic valve implantation

Sea Hing Ong MBBS, MRCP

Corresponding Author

Sea Hing Ong MBBS, MRCP

HELIOS Klinikum Siegburg, Department of Cardiology/Angiology, Siegburg, Germany

HELIOS Klinikum Siegburg, Medizinische Klinik-Kardiologie, Ringstrasse 49, 53721 Siegburg, GermanySearch for more papers by this author
Ralf Mueller MD

Ralf Mueller MD

HELIOS Klinikum Siegburg, Department of Cardiology/Angiology, Siegburg, Germany

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Ulrich Gerckens MD

Ulrich Gerckens MD

HELIOS Klinikum Siegburg, Department of Cardiology/Angiology, Siegburg, Germany

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First published: 16 March 2011
Citations: 6

Conflict of interest: Dr med Ulrich Gerckens is a Clinical Proctor for CoreValve Medtronic.

Abstract

Transcatheter aortic-valve implantation is rapidly emerging as an effective, safe, and sustainable alternative for a specific subset of high-surgical risk and/or inoperable patients with severe aortic stenosis. However, technical challenges remain for this relatively new procedure, not the least mal-positioning of the transcatheter prosthesis resulting in acute aortic regurgitation. We report a case of deep implantation of a CoreValve prosthesis that was inadvertently pulled out of the aortic annulus during repositioning. The patient received a second sequential CoreValve successfully.© 2010 Wiley-Liss, Inc.

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