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Bail-Out Implantation of an Embolized Balloon-Expandable Transcatheter Heart Valve in the Aortic Arch Using Self-Expandable Stents

  • Henryk Dreger
    Correspondence
    Corresponding author: Tel: +49 30 450 613 496; fax: +49 30 450 7 613 496.
    Affiliations
    Department of Cardiology and Angiology (Campus Charité Mitte), Charité – Universitätsmedizin Berlin, Germany

    DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
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  • Simon Sündermann
    Affiliations
    DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany

    Department of Cardiothoracic Surgery, Charité – Universitätsmedizin Berlin, Germany

    Department of Cardiothoracic and Vascular Surgery, German Heart Center Berlin, Berlin, Germany
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  • Stefan M. Niehues
    Affiliations
    Department of Radiology, Charité – Universitätsmedizin Berlin, Germany
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  • Ulf Landmesser
    Affiliations
    DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany

    Department of Cardiology (Campus Benjamin Franklin), Charité – Universitätsmedizin Berlin, Germany
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      Embolization of a balloon expandable valve during transcatheter aortic valve implantation (TAVR) is a rare complication which generally can be managed by implantation of the embolized valve into the aorta. We present a TAVR case where the combination of an ascending aortic aneurysm and a narrow aortic arch precluded implantation of an embolized balloon-expandable valve into either the ascending and descending aorta. As a bailout strategy, the embolized valve was secured in the aortic arch using two self-expandable stents. Six month after the procedure, computed tomography confirmed a stable valve position with unobstructed blood flow into the supra-aortic arteries.
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