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Published in: General Thoracic and Cardiovascular Surgery 8/2020

01-08-2020 | Transcatheter Aortic Valve Implantation | Case Report

Successful recovery from transcatheter aortic valve embolization by thoracic endovascular stent-graft repair

Authors: Go Ueno, Nobuhisa Ohno, Masanao Toma, Taishi Kobayashi, Toshi Maeda, Otohime Kato, Kosuke Yoshizawa, Tadashi Miyamoto, Keiichi Fujiwara

Published in: General Thoracic and Cardiovascular Surgery | Issue 8/2020

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Abstract

We report a case of an 84-year-old Japanese female patient with transcatheter valve embolization treated with thoracic endovascular stenting. She was diagnosed with severe aortic stenosis and referred to our hospital. Transapical transcatheter aortic valve implantation (TA-TAVI) was selected because she had multiple comorbidities and peripheral vascular disease. During TA-TAVI, the transcatheter valve (TV) came loose and lodged in the distal aortic arch. The TV was floating and unstable, thereby affecting her hemodynamics. After a second TV was placed in the appropriate position with no trouble, we tried fixing the TV using a thoracic endovascular stent-graft. The procedure was successful, and the patient recovered well. The cause of embolization seemed to be associated with a relatively mild calcification of the native aortic valve. Although this complication is rare, several recovery procedures should be prepared.
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Metadata
Title
Successful recovery from transcatheter aortic valve embolization by thoracic endovascular stent-graft repair
Authors
Go Ueno
Nobuhisa Ohno
Masanao Toma
Taishi Kobayashi
Toshi Maeda
Otohime Kato
Kosuke Yoshizawa
Tadashi Miyamoto
Keiichi Fujiwara
Publication date
01-08-2020
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 8/2020
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-019-01225-0

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