Key result
Conservative management of a proximally embolized Edwards SAPIEN XT valve during TAVI resulted in stable hemodynamics and no valve-related symptoms at 6-month follow-up.
Case Report (n=1)
No
Proximal embolization of a balloon-expandable TAVI prosthesis into the left ventricular outflow tract can occasionally be managed conservatively if the patient is hemodynamically stable and refuses surgery, though it remains a high-risk complication.
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Nonsurgical embolization management feasible when surgery declined; leaves open need for prospective safety data before broader consideration.
Transcatheter aortic valve implantation (TAVI) is considered an alternative therapy in high-risk patients with severe aortic stenosis (AS). However, this minimally invasive procedure carries potential complications, such as valve embolization at time of TAVI. We present a case of balloon-expandable aortic valve embolization which was managed nonsurgically. Valve embolization was managed conservatively, as the patient refused open heart surgery for definitive treatment. The patient was transferred to the intensive care unit in stable hemodynamic condition and discharged 1 week following the procedure.
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İsa Öner Yüksel (2015) conducted a case report in Severe aortic stenosis (n=1). Transcatheter aortic valve implantation (TAVI) was evaluated on Clinical outcome following conservative management of valve embolization. Conservative management of a proximally embolized Edwards SAPIEN XT valve during TAVI resulted in stable hemodynamics and no valve-related symptoms at 6-month follow-up.
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