Coil Embolization for Supra-annular Rupture During Transcatheter Aortic Valve Replacement Under Extracorporeal Membrane Oxygenation Support

Korean Circulation Journal 2022³â 52±Ç 2È£ p.166 ~ p.168

ÀÌÈñÁ¤(Lee Hee-Jeong) - Keimyung University Dongsan Hospital Department of Internal Medicine
±èÀÎö(Kim In-Cheol) - Keimyung University Dongsan Hospital Department of Internal Medicine
¹ÚÇü¼·(Park Hyoung-Seob) - Keimyung University Dongsan Hospital Department of Internal Medicine
Àå¿ì¼º(Jang Woo-Sung) - Keimyung University Dongsan Hospital Department of Cardiothoracic Surgery
±èÀç¹ü(Kim Jae-Bum) - Keimyung University Dongsan Hospital Department of Cardiothoracic Surgery
±èÁø¿µ(Kim Jin-Young) - Keimyung University Dongsan Hospital Department of Radiology
Çã½ÂÈ£(Hur Seung-Ho) - Keimyung University Dongsan Hospital Department of Internal Medicine
ÀÌöÇö(Lee Cheol-Hyun) - Keimyung University Dongsan Hospital Department of Internal Medicine

Abstract

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A 29-mm Sapien S3 prosthesis (Edwards Lifesciences Corporation, Irvine, CA, USA) with 2 mL underfill (+1.6% oversizing) was implanted. However, during valve implantation, supra-annular rupture by the calcified leaflet occurred in the left coronary cusp. the pericardial drain was tapered and the patient was successfully weaned off ECMO. No dye leakage was observed at the rupture site on the follow-up CT.
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ICD 03
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