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

被引：3
作者：
Mangieri, Antonio [1 ,2 ]
Giannini, Francesco [1 ]
Laricchia, Alessandra [2 ]
Romano, Vittorio [2 ]
Lanzillo, Giuseppe [3 ]
Pagnesi, Matteo [2 ]
Ponticelli, Francesco [2 ]
Ancona, Marco [2 ]
Latib, Azeem [1 ,4 ,5 ,6 ]
Colombo, Antonio [1 ]
机构：
[1] GVM Care & Res Maria Cecilia Hosp, Intervent Cardiol Unit, Via Via Madonna Genova 1, I-48033 Cotignola, Ravenna, Italy
[2] Ist Sci San Raffaele, Intervent Cardiol Unit, Milan, Italy
[3] Fdn IRCCS Policlin San Matteo, Div Cardiol, Pavia, Italy
[4] EMO GVM Ctr Cuore Columbus, San Raffaele Sci Inst, Milan, Italy
[5] Univ Cape Town, Div Cardiol, Dept Med, Cape Town, South Africa
[6] Montefiore Med Ctr, Dept Cardiol, New York, NY USA
来源：
CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2019年 / 20卷 / 06期
关键词：
Aortic regurgitation; Pure aortic regurgitation; Valve embolization; Aortic dehiscence; Aortic dissection; Transcatheter aortic valve implantation; Bicuspid aortic valve;
D O I：
10.1016/j.carrev.2018.12.013
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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. (c) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码：535 / 536
页数：2
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