Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation

We describe the case of an 81-year-old man with symptomatic severe bicuspid aortic valve stenosis. Transfemoral transcatheter aortic valve implantation was performed with a cerebral embolic protection device. During valve deployment, the 29-mm Evolut PRO prosthesis (Medtronic) popped out 3 times and...

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Detalles Bibliográficos
Autores principales: Cimci, Murat, Roffi, Marco, Noble, Stephane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499362/
https://www.ncbi.nlm.nih.gov/pubmed/32995732
http://dx.doi.org/10.1016/j.cjco.2020.05.004
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author Cimci, Murat
Roffi, Marco
Noble, Stephane
author_facet Cimci, Murat
Roffi, Marco
Noble, Stephane
author_sort Cimci, Murat
collection PubMed
description We describe the case of an 81-year-old man with symptomatic severe bicuspid aortic valve stenosis. Transfemoral transcatheter aortic valve implantation was performed with a cerebral embolic protection device. During valve deployment, the 29-mm Evolut PRO prosthesis (Medtronic) popped out 3 times and exchanged for a 34-mm Evolut R. Large valvular debris were captured in the embolic protection device. Subsequently, the patient developed chest pain and electrocardiogram modification. An emergency coronary angiography showed an occlusion of the middle circumflex artery. This case demonstrates technical challenges and possible complications in patients with bicuspid aortic valve stenosis undergoing transcatheter aortic valve implantation.
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spelling pubmed-74993622020-09-28 Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation Cimci, Murat Roffi, Marco Noble, Stephane CJC Open Case Report We describe the case of an 81-year-old man with symptomatic severe bicuspid aortic valve stenosis. Transfemoral transcatheter aortic valve implantation was performed with a cerebral embolic protection device. During valve deployment, the 29-mm Evolut PRO prosthesis (Medtronic) popped out 3 times and exchanged for a 34-mm Evolut R. Large valvular debris were captured in the embolic protection device. Subsequently, the patient developed chest pain and electrocardiogram modification. An emergency coronary angiography showed an occlusion of the middle circumflex artery. This case demonstrates technical challenges and possible complications in patients with bicuspid aortic valve stenosis undergoing transcatheter aortic valve implantation. Elsevier 2020-05-23 /pmc/articles/PMC7499362/ /pubmed/32995732 http://dx.doi.org/10.1016/j.cjco.2020.05.004 Text en © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Cimci, Murat
Roffi, Marco
Noble, Stephane
Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title_full Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title_fullStr Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title_full_unstemmed Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title_short Embolization to Two Different Vascular Territories in a Patient With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Implantation
title_sort embolization to two different vascular territories in a patient with bicuspid aortic stenosis undergoing transcatheter aortic valve implantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7499362/
https://www.ncbi.nlm.nih.gov/pubmed/32995732
http://dx.doi.org/10.1016/j.cjco.2020.05.004
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AT noblestephane embolizationtotwodifferentvascularterritoriesinapatientwithbicuspidaorticstenosisundergoingtranscatheteraorticvalveimplantation

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