Transcatheter Aortic Valve-in-Valve Implantation Complicated by Aorto-Right Ventricular Fistula

We describe the case of a degenerative, sutureless bioprosthetic valve (BPV) with deformation and stent infolding in a patient with elevated surgical risk. Following discussion among the heart team, balloon valve fracture was performed to facilitate deployment of an aortic valve-in-valve transcathet...

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Detalles Bibliográficos
Autores principales: Patterson, Tiffany, Rajani, Ronak, Esposito, Giulia, Allen, Christopher, Adams, Heath, Prendergast, Bernard, Young, Christopher, Redwood, Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Imaging Vignette
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7658332/
https://www.ncbi.nlm.nih.gov/pubmed/33215164
http://dx.doi.org/10.1016/j.jaccas.2019.11.086
Descripción
Sumario:We describe the case of a degenerative, sutureless bioprosthetic valve (BPV) with deformation and stent infolding in a patient with elevated surgical risk. Following discussion among the heart team, balloon valve fracture was performed to facilitate deployment of an aortic valve-in-valve transcatheter heart valve. Post-procedural imaging demonstrated BPV frame protrusion and contained annular rupture, which required operative intervention. (Level of Difficulty: Intermediate.)

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