Key result
Transapical extraction successfully retrieves a ventricularly embolized transcatheter aortic valve without conversion to median sternotomy.
Why the study?
Prosthesis embolization is a severe complication following transcatheter aortic valve implantation requiring effective management strategies.
Transapical access can be utilized to successfully explant a ventricularly embolized transcatheter valve without requiring conversion to open sternotomy.
Transapical extraction may avoid sternotomy after TAVR embolization; leaves open generalizability beyond this single case.
Prosthesis embolization represents a severe complication following transcatheter aortic valve implantation (TAVI). We describe a case of ventricular embolization of the Edwards Sapien valve following transapical TAVI. The prosthesis was extracted successfully using the same transapical access. This approach obviated the need for conversion to a median sternotomy to explant the embolized valve.
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Astarci et al. (2011) studied this question. Transapical extraction of a ventricularly embolized transcatheter aortic valve was performed successfully through the original access site, avoiding conversion to median sternotomy.
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