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

doi:10.1016/j.carrev.2018.12.013

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

Medicine

Research output: Contribution to journal › Article › peer-review

3 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 language	English (US)
Pages (from-to)	535-536
Number of pages	2
Journal	Cardiovascular Revascularization Medicine
Volume	20
Issue number	6
DOIs	https://doi.org/10.1016/j.carrev.2018.12.013
State	Published - Jun 2019

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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10.1016/j.carrev.2018.12.013

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Mangieri, A., Giannini, F., Laricchia, A., Romano, V., Lanzillo, G., Pagnesi, M., Ponticelli, F., Ancona, M., Latib, A., & Colombo, A. (2019). Transcatheter Treatment of Pure Aortic Regurgitation in a Horizontal Aorta Complicated by Valve Embolization and Aortic Dissection. Cardiovascular Revascularization Medicine, 20(6), 535-536. https://doi.org/10.1016/j.carrev.2018.12.013

Mangieri, A, Giannini, F, Laricchia, A, Romano, V, Lanzillo, G, Pagnesi, M, Ponticelli, F, Ancona, M, Latib, A & Colombo, A 2019, 'Transcatheter Treatment of Pure Aortic Regurgitation in a Horizontal Aorta Complicated by Valve Embolization and Aortic Dissection', Cardiovascular Revascularization Medicine, vol. 20, no. 6, pp. 535-536. https://doi.org/10.1016/j.carrev.2018.12.013

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

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.",

keywords = "Aortic dehiscence, Aortic dissection, Aortic regurgitation, Bicuspid aortic valve, Pure aortic regurgitation, Transcatheter aortic valve implantation, Valve embolization",

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

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doi = "10.1016/j.carrev.2018.12.013",

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AU - Mangieri, Antonio

AU - Giannini, Francesco

AU - Laricchia, Alessandra

AU - Romano, Vittorio

AU - Lanzillo, Giuseppe

AU - Pagnesi, Matteo

AU - Ponticelli, Francesco

AU - Ancona, Marco

AU - Latib, Azeem

AU - Colombo, Antonio

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AB - 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.

KW - Aortic dehiscence

KW - Aortic dissection

KW - Aortic regurgitation

KW - Bicuspid aortic valve

KW - Pure aortic regurgitation

KW - Transcatheter aortic valve implantation

KW - Valve embolization

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

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Keywords

ASJC Scopus subject areas

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