Delayed Migration of Sapien Valve Following a Transcatheter Mitral Valve-in-Valve Implantation

被引：50

作者：

Bapat, Vinayak Nilkanth ^{[1
]}

Khaliel, Feras ^{[2
]}

Ihleberg, Leo ^{[3
]}

机构：

[1] St Thomas Hosp, Dept Cardiothorac Surg, London SE1 7EH, England

[2] King Faisal Specialist Hosp & Res Ctr, Dept Cardiothroac Surg & Cardiol, Riyadh, Saudi Arabia

[3] Helsinki Univ Hosp, Dept Cardiac Surg & Cardiol, Helsinki, Finland

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2014年 / 83卷 / 01期

关键词：

TAVI; mitral; valve-in-valve; complication; HEART-VALVES; REPLACEMENT;

D O I：

10.1002/ccd.25076

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report two cases of delayed migration of the Sapien XT device after a successful mitral valve-in-valve (VIV) implantation. The procedure was performed through a transapical approach. Echocardiography was used to choose the size of the Sapien XT device. Although the immediate results were satisfactory both the cases presented with severe regurgitation (1 week and 3 months). Investigations revealed atrial migration of the Sapien device in both the cases, which was confirmed at the time of reoperation. We discuss possible mechanisms, which could have resulted in the delayed migration and highlight the difference between VIV procedures in mitral position versus other positions. (c) 2013 Wiley Periodicals, Inc.

引用

页码：E150 / E154

页数：5

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