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Case Report: Sapien 3 Transcatheter Heart Valve Embolization: Cause, Management, and Redo

Mi Chen1,2, Barbara E Stähli1, Jonathan M Michel1

  • 1University Heart Center, University Hospital Zurich, Zurich, Switzerland.

Frontiers in Cardiovascular Medicine
|November 19, 2021
PubMed

Insights

Transcatheter heart valve embolization during TAVI is rare. This case details managing Sapien 3 valve embolization due to pacing issues and performing a second valve implantation.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Device Complications

Background:

  • Transcatheter aortic valve implantation (TAVI) is a common procedure for aortic stenosis.
  • Transcatheter heart valve (THV) embolization is a rare but serious complication.
  • Interrupted rapid pacing can potentially lead to THV displacement.

Observation:

  • An 81-year-old male patient undergoing TAVI experienced embolization of the Sapien 3 valve.
  • The valve displacement occurred secondary to interrupted rapid pacing during the procedure.
  • The patient required a second valve implantation due to the embolization.

Findings:

  • Successful management of the embolized Sapien 3 THV was achieved.
  • A second Sapien 3 valve was successfully implanted after the embolization event.
  • The case highlights a specific scenario leading to THV embolization.

Implications:

  • This case provides valuable insights into managing THV embolization during TAVI.
  • It demonstrates the feasibility of a secondary valve implantation in such complex scenarios.
  • Understanding pacing-related risks is crucial for preventing TAVI complications.

Keywords:
Sapien 3TAVI – transcatheter aortic valve implantationaortic stenosisembolizationtranscatheter heart valve (THV)

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