Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection

We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with crani...

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Main Authors: Róbert Novotný, Jaroslav Hlubocký, Tomáš Kovárník, Petr Mitáš, Zuzana Hlubocka, Jan Rulíšek, Sevim Ismihan Gulmez, Shubjiwan Kaur Ghotra, Jaroslav Lindner
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/5086586
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author Róbert Novotný
Jaroslav Hlubocký
Tomáš Kovárník
Petr Mitáš
Zuzana Hlubocka
Jan Rulíšek
Sevim Ismihan Gulmez
Shubjiwan Kaur Ghotra
Jaroslav Lindner
author_facet Róbert Novotný
Jaroslav Hlubocký
Tomáš Kovárník
Petr Mitáš
Zuzana Hlubocka
Jan Rulíšek
Sevim Ismihan Gulmez
Shubjiwan Kaur Ghotra
Jaroslav Lindner
author_sort Róbert Novotný
collection DOAJ
description We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.
format Article
id doaj-art-5810c58d829b4a85935bd2b1bf678658
institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-5810c58d829b4a85935bd2b1bf6786582025-02-03T01:23:47ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/50865865086586Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft ResectionRóbert Novotný0Jaroslav Hlubocký1Tomáš Kovárník2Petr Mitáš3Zuzana Hlubocka4Jan Rulíšek5Sevim Ismihan Gulmez6Shubjiwan Kaur Ghotra7Jaroslav Lindner82nd Surgical Clinic of Cardiovascular Surgery, General Teaching Hospital, Prague, Czech Republic2nd Surgical Clinic of Cardiovascular Surgery, General Teaching Hospital, Prague, Czech Republic1st Faculty of Medicine, Charles University, Prague, Czech Republic2nd Surgical Clinic of Cardiovascular Surgery, General Teaching Hospital, Prague, Czech Republic1st Faculty of Medicine, Charles University, Prague, Czech RepublicClinic of Anesthesiology, Resuscitation and Intensive Medicine, General Teaching Hospital, Prague, Czech Republic1st Faculty of Medicine, Charles University, Prague, Czech Republic1st Faculty of Medicine, Charles University, Prague, Czech Republic2nd Surgical Clinic of Cardiovascular Surgery, General Teaching Hospital, Prague, Czech RepublicWe are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.http://dx.doi.org/10.1155/2017/5086586
spellingShingle Róbert Novotný
Jaroslav Hlubocký
Tomáš Kovárník
Petr Mitáš
Zuzana Hlubocka
Jan Rulíšek
Sevim Ismihan Gulmez
Shubjiwan Kaur Ghotra
Jaroslav Lindner
Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
Case Reports in Cardiology
title Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
title_full Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
title_fullStr Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
title_full_unstemmed Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
title_short Failed TAVI in TAVI Implantation: TAVI Dislocation Followed by Ensuing Surgical Graft Resection
title_sort failed tavi in tavi implantation tavi dislocation followed by ensuing surgical graft resection
url http://dx.doi.org/10.1155/2017/5086586
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