Correction of a Malpositioned Portico Transcatheter Aortic Valve Using a Snare Maneuver

Abstract

A 75-year-old woman with severe aortic stenosis underwent transcatheter aortic valve replacement using a 23-mm self-expanding Portico valve (Abbott). After complete deployment, it was found to be unacceptably low, with significant paravalvular regurgitation. The valve was pulled upward to the correct position successfully by using the snare maneuver. (Level of Difficulty: Advanced.)

Keywords

• aorta
• aortic valve
• valve replacement