• Ann. Thorac. Surg. · Mar 2013

    Case Reports

    Successful transapical implantation of an Edwards Sapien valve within an insufficient aortic CoreValve prosthesis: an initial experience.

    • Simone Schleger, Markus Kasel, Jayshree Vogel, Michael Lieber, Dietmar Antoni, Ellen Hoffmann, and Walter B Eichinger.
    • Department of Cardiac Surgery, Hospital Bogenhausen, Munich, Germany. simone.schleger@klinikum-muenchen.de
    • Ann. Thorac. Surg. 2013 Mar 1; 95 (3): 1070-2.

    AbstractTranscatheter aortic valve implantation (TAVI) has become an emerging alternative for high-risk patients with aortic stenosis unsuitable for surgical intervention. We report the case of a 26-mm Edwards Sapien valve (Edwards Lifesciences, Irvine, CA) implanted into an insufficient 29-mm CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) 1 year after implantation using the transapical approach in a 59-year-old man. Transesophageal echocardiography showed severe paravalvular regurgitation and computed tomography revealed the CoreValve to be located slightly below the aortic annulus with evidence of underdeployment. The balloon-expandable Sapien system caused a better expansion of the underdeployed CoreValve and the pericardial skirt adequately covered the leakage. The paravalvular regurgitation disappeared and the patient recovered.Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

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