Wellstar Atlanta Medical Center, Atlanta, GA, USA
Address for correspondence: Dr. Jonathan Nwiloh, Wellstar Atlanta Medical Center, Atlanta, GA, USA. E-mail: [email protected]
Received July 14, 2022
Accepted September 10, 2022
An elderly male S/P coronary artery bypass grafting ×3 with LIMA 12 years earlier presented with symptomatic severe aortic stenosis and was recommended to undergo Transcatheter aortic valve replacement (TAVR). The patient underwent a transfemoral TAVR with a 26 mm Edwards Sapien S3 ultra valve which, due to pacing malfunction during deployment, embolized into the ascending aorta across the sinotubular junction [Figure 1]. A second 26 mm Edwards Sapien S3 was then advanced across the previously placed prosthetic valve and native aortic valve and deployed successfully [Figure 2a and b]. Subsequent root angiogram showed no evidence of paravalvular or central valve regurgitation, and with the adequate flow to the right coronary artery, saphenous vein, and left internal mammary grafts.
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Figure 1: Displaced Transcatheter Aortic Valve.
Figure 2: (a and b) Double Transcatheter Aortic Valve Deployment.
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© 2021 Nigerian Journal of Cardiovascular & Thoracic Surgery | Published by Wolters Kluwer – Medknow
