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

Interventions for valvular disease and heart failure

ACURATE neo valve perforation after valve-in-valve transcatheter aortic valve implantation

EuroIntervention 2020;16:554-555. DOI: 10.4244/EIJ-D-19-00826

1. Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden

Figure 1. Possible cause of perforated ACURATE neo valve. A) Fluoroscopy after valve-in-valve TAVI using the ACURATE neo inside a Biocor surgical bioprosthesis. Red arrow showing the same area as in panels B and C. B) Ex vivo image showing (red arrow) proximity of the upper edge of the stent post of the Biocor (outside) and the ACURATE neo prosthesis. Image courtesy of Dr Vinayat Bapat and UBQO Limited, London, UK. C) The explanted ACURATE neo, with a hole under the stent post between the right and left cusps (red arrow).

In 2001, a 61-year-old male was operated and ...

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