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  • Title: Severe intraprosthetic regurgitation and valve embolization after transcatheter aortic valve implantation.
    Author: Ben-Dor I, Satler LF, Pichard AD, Waksman R.
    Journal: Catheter Cardiovasc Interv; 2013 Feb; 81(2):392-6. PubMed ID: 22566389.
    Abstract:
    Transcatheter aortic valve implantation is a novel therapeutic approach for high-risk patients with severe symptomatic aortic stenosis. The success rate of this new procedure is high; however, procedural complications can occur and may result in devastating outcomes. Here, we report a case of transfemoral catheter aortic valve implantation using the Edwards SAPIEN valve complicated by severe intravalvular leak due to immobile cusp associated with shock. We treated with a second valve that embolized and deployed in the descending aorta. A third valve was then deployed within the first with elimination of aortic regurgitation and immediate hemodynamic improvement.
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