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LETTER TO THE EDITOR
Year : 2021  |  Volume : 6  |  Issue : 1  |  Page : 24

Transcatheter aortic valve replacement – Double valve deployment


Wellstar Atlanta Medical Center, Atlanta, GA, USA

Date of Submission14-Jul-2022
Date of Acceptance10-Sep-2022
Date of Web Publication24-Dec-2022

Correspondence Address:
Dr. Jonathan Nwiloh
Wellstar Atlanta Medical Center, Atlanta, GA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/njct.njct_4_22

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How to cite this article:
Nwiloh J. Transcatheter aortic valve replacement – Double valve deployment. Niger J Cardiovasc Thorac Surg 2021;6:24

How to cite this URL:
Nwiloh J. Transcatheter aortic valve replacement – Double valve deployment. Niger J Cardiovasc Thorac Surg [serial online] 2021 [cited 2023 May 29];6:24. Available from: https://journals.lww.com/njct/pages/default.aspx/text.asp?2021/6/1/24/365221

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 2]a and [Figure 2]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.
Figure 1: Displaced Transcatheter Aortic Valve.

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Figure 2: (a and b) Double Transcatheter Aortic Valve Deployment.

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




    Figures

  [Figure 1], [Figure 2]



 

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