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A 75-year-old female with symptomatic aortic stenosis, end-stage renal failure and peripheral vascular disease underwent due to high operative risk for conventional aortic valve replacement (logistic EuroSCORE predicted mortality 36%, STS Score 21%), transapical aortic valve implantation using a 23 mm Edwards SAPIEN valve.
Angiography of the ascending aorta revealed deployment of the valve within the aortic annulus, but soon after migration towards the left ventricular outflow tract underneath the native …
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