An emergent surgery for valve migration in transcatheter aortic valve replacement

Burak Can Depboylu; Parmeseeven Mootoosamy; Patrick Myers; Marc Licker; Mustafa Çıkırıkçıoğlu

doi:10.5606/tgkdc.dergisi.2017.13810

Burak Can Depboylu¹, Parmeseeven Mootoosamy¹, Patrick Myers¹, Marc Licker², Mustafa Çıkırıkçıoğlu¹

¹Departments of Cardiovascular Surgery, Geneva University Hospitals Faculty of Medicine, Geneva, Switzerland
²Departments of Anaesthesiology and Reanimation, Geneva University Hospitals Faculty of Medicine, Geneva, Switzerland

DOI : 10.5606/tgkdc.dergisi.2017.13810

Transcatheter aortic valve replacement is a common treatment method for patients with severe aortic stenosis, who are either at high-risk or non-eligible for surgery. One of the rare, but major complications of this method is valve migration, which usually occurs during the intervention. The assessment of the Heart Team before transcatheter aortic valve replacement is determinant for the to-do list for the bail-out procedure. Discussion of the possible major complications and interventional plans may save the patients life in case of life-threatening transcatheter aortic valve replacement complications. Herein, we report a successful surgical management of valve migration occurred during transcatheter aortic valve replacement in a low-risk patient with bicuspid aortic valve.

Keywords : Aortic stenosis; prosthesis failure; surgery; transcatheter aortic valve replacement

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