1. Successful transapical implantation of an Edwards Sapien valve within an insufficient aortic CoreValve prosthesis: an initial experience
- Author
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Dietmar Antoni, Ellen Hoffmann, Markus Kasel, Walter B. Eichinger, Jayshree Vogel, Simone Schleger, and Michael L. Lieber
- Subjects
Pulmonary and Respiratory Medicine ,Aortic valve ,Male ,Reoperation ,medicine.medical_specialty ,Cardiac Catheterization ,medicine.medical_treatment ,Aortic Valve Insufficiency ,Regurgitation (circulation) ,Prosthesis Design ,Prosthesis ,Severity of Illness Index ,Internal medicine ,Medicine ,Humans ,Cardiac skeleton ,Cardiac catheterization ,business.industry ,Aortic Valve Stenosis ,Middle Aged ,medicine.disease ,Surgery ,Prosthesis Failure ,Stenosis ,medicine.anatomical_structure ,Aortic valve stenosis ,Aortic Valve ,Heart Valve Prosthesis ,Cardiology ,Cardiology and Cardiovascular Medicine ,business ,Tomography, X-Ray Computed ,Echocardiography, Transesophageal ,Edwards sapien - Abstract
Transcatheter aortic valve implantation (TAVI) has become an emerging alternative for high-risk patients with aortic stenosis unsuitable for surgical intervention. We report the case of a 26-mm Edwards Sapien valve (Edwards Lifesciences, Irvine, CA) implanted into an insufficient 29-mm CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) 1 year after implantation using the transapical approach in a 59-year-old man. Transesophageal echocardiography showed severe paravalvular regurgitation and computed tomography revealed the CoreValve to be located slightly below the aortic annulus with evidence of underdeployment. The balloon-expandable Sapien system caused a better expansion of the underdeployed CoreValve and the pericardial skirt adequately covered the leakage. The paravalvular regurgitation disappeared and the patient recovered.
- Published
- 2012