Severe Valvular Regurgitation: An Unexpected Complication During Transapical Aortic Valve Implantation Treated Successfully with the “Valve-in-Valve” Procedure

Ethem Kavukcu ¹, Ali Erdoğan ¹, Rıdvan Chasan ², Ethem Kavukçu ³, Mehmet Bilgin ⁴

¹Department of Family Medicine, Sports Medicine, Akdeniz University, Antalya, Turkey
²Department of Cardiology and Angiology, JL-University of Giessen, Giessen, Germany ; Department of Internal Medicine and Angiology, Medical and Research Center Wuppertal, Wuppertal, Germany
³Department of Internal Medicine, Medical Center Wuppertal, Wuppertal, Germany
⁴Department of Radiology, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, Turkey

DOI : 10.5152/balkanmedj.2012.040

Pages : 444-446

Abstract

Severe symptomatic aortic stenosis (AS) in a multimorbid 77 year old female was treated with transapical aortic valve implantation with a 23 mm Edwards Sapien valve. Severe valvular regurgitation following implantation, probably due to structural valve failure, was treated successfully with a second valve-in- valve implantation. During a follow-up time of 2,5 years no further problems occurred.