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Eur J Cardiothorac Surg 2006;30:196-198
© 2006 Elsevier Science NL

Case report

Aortic insufficiency produced by stent-graft displacement

^a Department of Cardiac Surgery, Na Homolce Hospital, Roentgenova 2, Prague, Czech Republic
^b Department of Radiology, Na Homolce Hospital, Prague, Czech Republic
^c Department of Vascular Surgery, Na Homolce Hospital, Prague, Czech Republic

Received 3 January 2006; received in revised form 17 March 2006; accepted 26 March 2006.

^_* Corresponding author. Tel.: +420 2 57272668; fax: +420 2 57272587. (Email: jaroslav.benedik{at}homolka.cz).

The following case report describes an unusual example of aortic valve damage caused by iatrogenic stent-graft rupture (disconnection of the proximal uncovered part of a stent-graft) during delivery of a proximal extension, resulting in the displacement of a stent-graft wire to the aortic root. The wire was extracted under cardiopulmonary bypass, using circulatory arrest, and the damaged aortic valve replaced by a mechanical valve.

Key Words: Circulatory arrest • Stent-graft migration • Aortic valve replacement