Antegrade and retrograde embolisation of valves ensuing Transcatheter aortic valve implantation (TAVI)

Abstract

There has been significant rise in Transcatheter aortic valve implantations (TAVI) worldwide. Displacement of the TAVI device is a potential life threatening complication. We present a case of 79 years old with severe aortic stenosis who underwent TAVI. When the valve got displaced into the ascending aorta, a second valve was deployed. The second valve gets displaced into the left ventricle. Failure of interventional efforts forced us to surgically explore to find extensive bruising and a dissected ascending aorta. Though the rate of device migration is quite low, a good understanding of the implicating factors will help the operator to avoid such a disaster.

Keywords

• Transcatheter valve replacement
• Valve implantation
• Cardiovascular complication
• Aortic valve
• Cardiac valvular surgery
• Cardiac surgery