Transcatheter aortic valve implantation in a 79-year-old patient was complicated by antegrade displacement of the first valve and retrograde displacement of a second valve, requiring surgical exploration.
Case Report (n=1)
TAVI device migration is a rare but life-threatening complication that can lead to severe consequences like aortic dissection requiring surgical intervention.
There has been significant rise in Transcatheter aortic valve implantations (TAVI) worldwide. Displacement of the TAVI device is a potential life threatening complication. We present a case of 79 years old with severe aortic stenosis who underwent TAVI. When the valve got displaced into the ascending aorta, a second valve was deployed. The second valve gets displaced into the left ventricle. Failure of interventional efforts forced us to surgically explore to find extensive bruising and a dissected ascending aorta. Though the rate of device migration is quite low, a good understanding of the implicating factors will help the operator to avoid such a disaster.
Chengalath et al. (2019) conducted a case report in Severe aortic stenosis (n=1). Transcatheter aortic valve implantation (TAVI) was evaluated on Device migration/displacement. Transcatheter aortic valve implantation in a 79-year-old patient was complicated by antegrade displacement of the first valve and retrograde displacement of a second valve, requiring surgical exploration.