Key result
Urgent SAVR successfully rescues acute ventricular embolization of a TAVI prosthesis.
Why the study?
Valve embolization is a life-threatening complication of transcatheter aortic valve implantation requiring effective management strategies.
Case Report (n=1)
In cases of TAVI prosthesis embolization into the left ventricle where endovascular methods fail, urgent open-heart surgery is required and the guidewire should not be removed.
TAVI embolization into the LV may require urgent surgery if endovascular retrieval fails; leaves open optimal prevention and bailout strategies.
Transcatheter aortic valve implantation is recommended in advanced aortic stenosis, in elderly patients who are not suitable for surgery. Valve embolization is one of the most important complications that is life-threatening. A 61-year-old male patient was being followed up with a complaint of shortness of breath. He had a history of coronary artery bypass graft operation. Transthoracic echocardiography revealed severe aortic stenosis. Transfemoral transcatheter aortic valve implantation was performed, but while the balloon passed through the valve, the valve embolized the ventricle. The patient was then taken into operation. The native aortic valve was resected, the valve embolized into the ventricle was cut and removed, and surgical aortic valve replacement was performed. Endovascular methods can be preferred in suitable patients, but in cases where they fail, urgent open-heart surgery is required. One of the most important points is that the guidewire should not be removed when embolization.
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Beyazal et al. (2025) conducted a case report in Severe aortic stenosis with prosthesis embolization into left ventricle (n=1). Urgent open-heart surgery (surgical aortic valve replacement and removal of embolized valve) was evaluated on Management of valve embolization. Urgent open-heart surgery with surgical aortic valve replacement was required to successfully manage a TAVI prosthesis that embolized into the left ventricle.
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