The valve crossed and the position was confirmed with aortography.Once we were happy with the position, we performed rapid pacing at 180 bpm and aortography was performed and the valve was deployed.The result was in excellent position with no aortic insufficiency by transthoracic echo and aortography.The balloon delivery system was removed and there was more resistance to the removal of the balloon system.On observation, there was a disconnection between the proximal balloon and the shaft with some stretching of the wire braid.There were 4 sharp plastic tines that were exposed at the base of the balloon.The sheath expansion membrane was completely torn.Abdominal aortogram showed pseudo aneurysm at the level of the ima, there was no extravasation.Interventional radiologist consulted intraoperatively for the aortic injury and aortic cuff placement.There was a penetrating ulcer to the aorta treated with a covered stent with a good seal.There will be a follow up cta in one month to ensure continued functioning of the stent.Within normal range throughout hospitalization to assess for delated hemorrhage.Fda safety report id# (b)(4).
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