Sequential transcatheter aortic valve implantation due to valve dislodgement - a Portico valve implanted over a CoreValve bioprosthesis

R. Campante Teles, C. Costa, M. Almeida, J. Brito, L. Sondergaard, J.P. Neves, J. Abecasis, H. M. Gabriel

Research output: Contribution to journalArticlepeer-review

Abstract

Transcatheter aortic valve implantation (TAVI) has become an important treatment in high surgical risk patients with severe aortic stenosis (AS), whose complications need to be managed promptly. The authors report the case of an 86-year-old woman presenting with severe symptomatic AS, rejected for surgery due to advanced age and comorbidities. The patient underwent a first TAVI, with implantation of a Medtronic CoreValve®, which became dislodged and migrated to the ascending aorta. Due to the previous balloon valvuloplasty, the patient's AS became moderate, and her symptoms improved. After several months, she required another intervention, performed with a St. Jude Portico® repositionable self-expanding transcatheter aortic valve. There was a good clinical response that was maintained at one-year follow-up. The use of a self-expanding transcatheter bioprosthesis with repositioning features is a solution in cases of valve dislocation to avoid suboptimal positioning of a second implant, especially when the two valves have to be positioned overlapping or partially overlapping each other. © 2017 Sociedade Portuguesa de Cardiologia
Original languageEnglish
Pages (from-to)215.e1-215.e4
Number of pages4
JournalRevista Portuguesa de Cardiologia
Volume36
Issue number3
DOIs
Publication statusPublished - Mar 2017

Keywords

  • Severe aortic stenosis
  • Transcatheter aortic valve implantation complications
  • Valve dislocation

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