The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Perforated ACURATE neo valve soon after Valve-in-valve TAVI

DOI: 10.4244/EIJ-D-19-00826

1. Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden, Sweden
2. Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden
3. Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden
4. Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden
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A 61-year old male was operated with a 25 mm Biocor (St Jude Medical, St Paul, MN) aortic bioprosthesis in 2001. In 2017 the patient developed dyspnoea. Echocardiography revealed severe transvalvular regurgitation.In January 2018 a TAVI (Transcatheter Aortic Valve Implantation) valve-in-valve procedure was performed using a 23 mm ACURATE neo prosthesis (Boston Scientific, Marlborough, MA) (Panel A). The prosthesis was postdilated with a 22 mm balloon. Postoperative and 30-day echocardiography was unremarkable.

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