Morales-Portano JD, Zaldívar-Fujigaki JL, García-García JF, Madrid-Dour EA, Muratalla-González R, Merino-Rajme JA

Language: English
References: 16
Page: 56-60
PDF size: 226.46 Kb.

ABSTRACT

Dislocation of a Perceval valve is an extremely rare situation, with only a handful of proven cases entailing migration or dysfunction of the valve. A 76-year-old male with severe dyspnea with a severe aortic stenosis revealed by transthoracic echocardiography (TTE); surgical procedure with a Perceval valve was made without any complications. Within the first 24-hours in the Intensive Care Unit, the patient presented acute heart failure. The transesophageal echocardiography (TEE) showed severe paravalvular leak, then a fluoroscopy confirmed the dislocated and dysfunctional Perceval valve. An emergency transcatheter aortic valve-in-valve procedure with a CoreValve 29 mm was performed to correct the dislocated valve. To the best of our knowledge, this is the first documented case in the world of an acute dislocated Perceval valve treated with a TAVI valve-in-valve.

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