An Unexpected Free-Floating Aortic Valve Leaflet Avulsion in the Left Atrium on Transesophageal Echocardiography During Transcatheter Aortic Valve Implantation Under Extracorporeal Membrane Oxygenation

[Display omitted] •Aortic valve leaflet avulsion is a rare complication during TAVI.•Avulsed leaflet traveled to the LA with ECMO flow and migrated to the aorta.•TEE aided in timely management and helped complete the transcatheter intervention.

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Bibliographic Details
Published in:CASE (Philadelphia, Pa.) Pa.), 2023-04, Vol.7 (4), p.129-133
Main Authors: Inoue, Motoi, Shimizu, Morihiro, Okamoto, Hiroki, Mizuno, Takayoshi, Shimizu, Satoshi, Imashuku, Yasuhiko, Kitagawa, Hirotoshi
Format: Article
Language:English
Subjects:
Aortic leaflet avulsion
Aortic stenosis
Extracorporeal membrane oxygenation
Just Another Day in the Echo Lab
Transcatheter aortic valve implantation
Watershed
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Description
Summary:[Display omitted] •Aortic valve leaflet avulsion is a rare complication during TAVI.•Avulsed leaflet traveled to the LA with ECMO flow and migrated to the aorta.•TEE aided in timely management and helped complete the transcatheter intervention.
ISSN:2468-6441
2468-6441
DOI:10.1016/j.case.2022.12.008