Sapien 3 Embolization From Ventricle to Aorta in the Setting of Noncalcified Aortic Regurgitation

Robin Le Ruz, MD; Julien Plessis, MD; Guillaume Guimbretiere, MD; Jean-Christian Roussel, MD, PhD; Pierre-Guillaume Piriou, MD; Caroline Cueff, MD; Blandine Maurel, MD, PhD; Vincent Letocart, MD; Thibaut Manigold, MD

JACC: Case Reports (Jan 2021)

Sapien 3 Embolization From Ventricle to Aorta in the Setting of Noncalcified Aortic Regurgitation

Robin Le Ruz, MD,
Julien Plessis, MD,
Guillaume Guimbretiere, MD,
Jean-Christian Roussel, MD, PhD,
Pierre-Guillaume Piriou, MD,
Caroline Cueff, MD,
Blandine Maurel, MD, PhD,
Vincent Letocart, MD,
Thibaut Manigold, MD

Affiliations

Robin Le Ruz, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France; Address for correspondence: Dr. Robin Le Ruz, Service de Cardiologie, CHU de Nantes–Hôpital Nord–Laennec, Boulevard Jacques Monod, 44093 Nantes Cedex, France.
Julien Plessis, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Guillaume Guimbretiere, MD: Cardiothoracic Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Jean-Christian Roussel, MD, PhD: Cardiothoracic Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Pierre-Guillaume Piriou, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Caroline Cueff, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Blandine Maurel, MD, PhD: Vascular Surgery Service, Thoracic Institute, Nantes University Hospital, Nantes, France; Pathophysiology of Bone Resorption Laboratory (Inserm-UN UMR-957), Nantes, France
Vincent Letocart, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France
Thibaut Manigold, MD: Cardiology Service, Thoracic Institute, Nantes University Hospital, Nantes, France

Journal volume & issue: Vol. 3, no. 1
pp. 64 – 68

Abstract

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Transcatheter aortic valve replacement is currently used off-label for noncalcified aortic valve regurgitation and therefore is restricted to selected cases. In this setting we describe a rare complication of Sapien 3 (Edwards Lifesciences, Irvine, California) embolization from the left ventricle to the descending aorta. Given their technical challenges, such procedures require specific considerations and management. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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