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LETTER TO THE EDITOR |
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Year : 2021 | Volume
: 6
| Issue : 1 | Page : 24 |
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Transcatheter aortic valve replacement – Double valve deployment
Jonathan Nwiloh
Wellstar Atlanta Medical Center, Atlanta, GA, USA
Date of Submission | 14-Jul-2022 |
Date of Acceptance | 10-Sep-2022 |
Date of Web Publication | 24-Dec-2022 |
Correspondence Address: Dr. Jonathan Nwiloh Wellstar Atlanta Medical Center, Atlanta, GA USA
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/njct.njct_4_22
How to cite this article: Nwiloh J. Transcatheter aortic valve replacement – Double valve deployment. Niger J Cardiovasc Thorac Surg 2021;6:24 |
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.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
[Figure 1], [Figure 2]
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