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Authors Taylor LJ, Raval AN, Osaki S, Kohmoto T, Lozonschi L
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Journal Innovations (Phila) Volume: 12 Issue: 3 Pages: 221-223
Publish Date 2017 May/Jun
PubMed ID 28549025

Transcatheter aortic valve replacement is a less invasive alternative for high-risk patients. However, valve embolization is a rare but dreaded complication. We report the successful off-pump retrieval of an embolized valve after transfemoral transcatheter aortic valve replacement through a left anterior thoracotomy. We maintained the embolized valve on the guidewire and snared it using a transapical approach. We then deployed a valve in an adequate position to ensure hemodynamic stability before transapical removal of the embolized valve. Transapical exteriorization of the femoral guidewire offers additional support, particularly in patients with a horizontal aortic annulus. Copyright © 2017 The Board of Regents of the University of Wisconsin System