A novel balloon-assisted technique can successfully manage the complication of Acurate Neo 2 valve protrusion into the left ventricle during TAVR.
May aid select TAVR valve protrusion cases; leaves open safety and efficacy pending prospective validation.
We report the case of an 81-year-old woman with severe aortic stenosis and moderate aortic regurgitation who underwent transcatheter aortic valve implantation (TAVR) with an Acurate Neo 2 valve. During the procedure, the valve protruded into the left ventricle, rendering simple retrieval impossible. A novel "balloon-assisted" technique was successfully employed to centralize and retract the valve into the ascending aorta, allowing for proper deployment without complications. This case highlights a unique complication and its innovative management strategy.
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Quadri et al. (2025) studied this question.
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