An 81 y/o with pmh(past medical history) of cad(coronary artery disease), nstemi(non-st-elevation myocardial infarction), htn(hypertension), hld(hypersensitivity lung disease), gi(gastro-intestinal) bleed, and pe(pulmonary embolism) presented on (b)(6) 2023 for a tavr(transcatheter aortic valve replacement) in the cardiac cath lab.During the procedure when the valve was deployed, there was a pvc(premature ventricular contraction) during the valve deployment, caused by the temporary pacing catheter failing to cause capture.This caused the valve to deploy approximately 2-3 mm distal to the intended site.Tte(transthoracic echocardiogram) and cineangiography showed substantial perivalvular leak.The deployment catheter was removed.It was felt that failure of the temporary pacing catheter to maintain capture led to the complication/inappropriate placement of valve.
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