The Annals of thoracic surgery
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Device malposition and dysfunction with resultant severe aortic insufficiency are known complications of transcatheter aortic valve implantation (TAVI). Fortunately, these complications can often be successfully treated with a transcatheter valve-in-valve (VinV) implantation. However, prosthetic leaflet dysfunction or immobility from the VinV configuration can lead to severe central aortic insufficiency. We report the first known case of implantation of a third SAPIEN prosthesis (Edwards Lifesciences, Irvine, CA) during TAVI as a valuable bailout strategy to deal with severe aortic insufficiency after VinV implantation.
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Inferior vena cava filter (IVCF) placement has been recommended by clinicians for patients with venous thromboembolism who are at high risk for pulmonary embolism. There are a number of complications with IVCF insertion, removal, and migration that have been reported in the literature. Although those resulting from structural failure are rare, they can also be among the most critical. We describe a 48-year-old woman with a history of hypercoagulability whose IVCF fractured during retrieval, resulting in partial embolization to the right middle lobe pulmonary artery.
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Multicenter Study Comparative Study
Postoperative atrial fibrillation after isolated aortic valve replacement: a cause for concern?
Several studies have shown that postoperative atrial fibrillation (POAF) is associated with poorer short-term and long-term outcomes after general cardiac operations. There is, however, a paucity of data on the impact of POAF on outcomes after isolated aortic valve replacement (AVR). ⋯ POAF is a risk factor for short-term morbidity but is not associated with a higher rate of early or late mortality after isolated AVR.