Off-Pump Transapical Removal of An Embolized Transcatheter Aortic Valve. Issue 3 (May 2017)

• Record Type: Journal Article
• Authors: Taylor, Lauren J.; Raval, Amish N.; Osaki, Satoru; Kohmoto, Takushi; Lozonschi, Lucian
• Is Part Of: Innovations. Volume 12:Issue 3(2017)
• Page Start: 221
• Page End: 223
• Publication Date: 2017-05
• Subjects: Transcatheter aortic valve replacement -- Valve embolization -- Transapical approach; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1097/imi.0000000000000369
• Languages: English
• ISSNs: 1556-9845

Abstract

Transcatheter aortic valve replacement is a less invasive alternative for high-risk patients. However, valve embolization is a rare but dreaded complication. We report the successful off-pump retrieval of an embolized valve after transfemoral transcatheter aortic valve replacement through a left anterior thoracotomy. We maintained the embolized valve on the guidewire and snared it using a transapical approach. We then deployed a valve in an adequate position to ensure hemodynamic stability before transapical removal of the embolized valve. Transapical exteriorization of the femoral guidewire offers additional support, particularly in patients with a horizontal aortic annulus.