Undeliverable Sapien 3 prosthesis in transaortic transcatheter aortic valve implantation

Tomonori Shirasaka; Shingo Kunioka; Yuya Kitani; Hiroyuki Kamiya

doi:10.1093/jscr/rjab001

Undeliverable Sapien 3 prosthesis in transaortic transcatheter aortic valve implantation

J Surg Case Rep. 2021 Feb 18;2021(2):rjab001. doi: 10.1093/jscr/rjab001. eCollection 2021 Feb.

Authors

Tomonori Shirasaka¹, Shingo Kunioka¹, Yuya Kitani², Hiroyuki Kamiya¹

Affiliations

¹ Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.
² Department of Cardiology, Asahikawa Medical University, Asahikawa, Japan.

Abstract

In transaortic (TAo) trasncatheter aortic valve implantation (TAVI), direct transmission of forces to the stenotic aortic valve is possible. Therefore, the need of balloon aortic valvoplasty in TAo-TAVI may be very limited regarding the deliverability of TAVI prosthesis. However, if the TAVI prosthesis becomes undeliverable, it becomes seriously problematic. Herein, we present a case of TAo-TAVI in which the TAVI prosthesis was undeliverable, and it was forcefully pushed together with the introducer system into the aortic valve as a bailout technique.

Publication types

Case Reports