Burak Can DEPBOYLU, Mustafa ÇIKRIKÇIOĞLU, Marc LİCKER, Parmeseeven MOOTOOSAMY, Patrick MYERS

Transkateter aort kapak replasmanında acil kapak migrasyonu cerrahisi

Transkateter aort kapak replasmanı, cerrahi için yüksek riskli olan veya cerrahiye uygun olmayan şiddetli aort darlığı olan hastalarda sıklıkla kullanılan bir tedavi yöntemidir. Bu yöntemin nadir, ancak başlıca komplikasyonlarından biri de genellikle girişim sırasında meydana gelen kapak migrasyonudur. Transkateter aort kapak replasmanı öncesi Kalp Ekibinin değerlendirmesi, kurtarma işlemi olarak yapılacaklar listesini belirler. Muhtemel majör komplikasyonların ve girişimsel planların tartışılması, yaşamı tehdit eden transkateter aort kapak replasmanı komplikasyonları olması durumunda, hastanın hayatını kurtarabilir. Bu yazıda, biküspid aort kapaklı düşük riskli bir hastada transkateter aort kapak replasmanı sırasında gelişen kapak migrasyonunun başarılı cerrahi tedavisi sunuldu.

An emergent surgery for valve migration in transcatheter aortic valve replacement

Transcatheter aortic valve replacement is a common treatment method for patients with severe aortic stenosis, who are either at high-risk or non-eligible for surgery. One of the rare, but major complications of this method is valve migration, which usually occurs during the intervention. The assessment of the Heart Team before transcatheter aortic valve replacement is determinant for the “to-do list” for the bail-out procedure. Discussion of the possible major complications and interventional plans may save the patient’s life in case of life-threatening transcatheter aortic valve replacement complications. Herein, we report a successful surgical management of valve migration occurred during transcatheter aortic valve replacement in a low-risk patient with bicuspid aortic valve.

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