In the Literature: New Research from Our Faculty, Dr. Bainbridge, Dr. Jones, and Dr. Iglesias
Thursday, August 14, 2014
Can J Cardiol. 2014 Mar 27. [Epub ahead of print]
Transventricular crushing and extrication of embolized transcatheter aortic valve prosthesis.
Tarola C, Kiaii B, Teefy P, Diamantorous P, Bainbridge D, Jones PM, Iglesias I, Chu MW.
Abstract
Valve embolization after transcatheter aortic valve implantation (TAVI) occurs in up to 1% of cases and is often related to inadequate aortic annular visualization. When it occurs in an antegrade fashion, wire control of the embolized prosthesis usually facilitates safe implantation in the distal aorta. Retrograde embolization into the left ventricle occurs more commonly with balloon expandable prostheses, and usually requires open surgical excision for safe removal. We present a 73-year-old male patient with multiple medical comorbidities and previous coronary bypass (Society of Thoracic Surgeons [STS] score 12%) who had severe, symptomatic aortic stenosis whom we planned to treat with transapical TAVI.
