Off-Pump Transapical Removal of an Embolized Transcatheter Aortic Valve.
Innovations (Phila)
; 12(3): 221-223, 2017.
Article
em En
| MEDLINE
| ID: mdl-28549025
ABSTRACT
Transcatheter aortic valve replacement is a less invasive alternative for high-risk patients. However, valve embolization is a rare but dreaded complication. We report the successful off-pump retrieval of an embolized valve after transfemoral transcatheter aortic valve replacement through a left anterior thoracotomy. We maintained the embolized valve on the guidewire and snared it using a transapical approach. We then deployed a valve in an adequate position to ensure hemodynamic stability before transapical removal of the embolized valve. Transapical exteriorization of the femoral guidewire offers additional support, particularly in patients with a horizontal aortic annulus.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Valva Aórtica
/
Próteses Valvulares Cardíacas
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Remoção de Dispositivo
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Ponte de Artéria Coronária sem Circulação Extracorpórea
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Embolia
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Substituição da Valva Aórtica Transcateter
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article