Transcatheter Treatment of Pure Aortic Regurgitation in a Horizontal Aorta Complicated by Valve Embolization and Aortic Dissection

Antonio Mangieri, Francesco Giannini, Alessandra Laricchia, Vittorio Romano, Giuseppe Lanzillo, Matteo Pagnesi, Francesco Ponticelli, Marco Ancona, Azeem Latib, Antonio Colombo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

A 83-year-old female with severe aortic regurgitation (AR) and an horizontal ascending aorta was scheduled for a transcatheter aortic valve replacement. After the complete deployment, a Portico 29 mm valve embolized in the ascending aorta due to the unfavorable anatomy of the anchoring zone. A second Portico 29 mm was successfully implanted using the embolized valve for superior anchoring. The patient died 7 days after the procedure due to a retrograde aortic dissection. This case shows a rare but possible complication that occurs especially in unfavorable and complex aortic anatomies.

Original languageEnglish (US)
Pages (from-to)535-536
Number of pages2
JournalCardiovascular Revascularization Medicine
Volume20
Issue number6
DOIs
StatePublished - Jun 2019
Externally publishedYes

Keywords

  • Aortic dehiscence
  • Aortic dissection
  • Aortic regurgitation
  • Bicuspid aortic valve
  • Pure aortic regurgitation
  • Transcatheter aortic valve implantation
  • Valve embolization

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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