Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases

Structural valve deterioration (SVD) of transcatheter implanted aortic valve (TAVR) prostheses leading to prosthesis dysfunction is an uncommon yet increasingly described complication. Literature is scarce on specific mechanisms and clinical presentation of SVD after TAVR, notably on self-expanding...

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Autores principales: Schaeffer, Thibault, Koechlin, Luca, Jeger, Raban, Leibundgut, Gregor, Reuthebuch, Oliver
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248160/
https://www.ncbi.nlm.nih.gov/pubmed/37304949
http://dx.doi.org/10.3389/fcvm.2023.1135496
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author Schaeffer, Thibault
Koechlin, Luca
Jeger, Raban
Leibundgut, Gregor
Reuthebuch, Oliver
author_facet Schaeffer, Thibault
Koechlin, Luca
Jeger, Raban
Leibundgut, Gregor
Reuthebuch, Oliver
author_sort Schaeffer, Thibault
collection PubMed
description Structural valve deterioration (SVD) of transcatheter implanted aortic valve (TAVR) prostheses leading to prosthesis dysfunction is an uncommon yet increasingly described complication. Literature is scarce on specific mechanisms and clinical presentation of SVD after TAVR, notably on self-expanding valve ACURATE Neo. We report on two cases with severe bioprosthetic failure after ACURATE Neo implantation due to leaflet disruption, and we treated them with surgical aortic valve replacement. Based on the literature, we further discuss the incidence of SVD after TAVR, the durability of ACURATE NEO, and the modes of failure of biological valve prostheses.
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spelling pubmed-102481602023-06-09 Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases Schaeffer, Thibault Koechlin, Luca Jeger, Raban Leibundgut, Gregor Reuthebuch, Oliver Front Cardiovasc Med Cardiovascular Medicine Structural valve deterioration (SVD) of transcatheter implanted aortic valve (TAVR) prostheses leading to prosthesis dysfunction is an uncommon yet increasingly described complication. Literature is scarce on specific mechanisms and clinical presentation of SVD after TAVR, notably on self-expanding valve ACURATE Neo. We report on two cases with severe bioprosthetic failure after ACURATE Neo implantation due to leaflet disruption, and we treated them with surgical aortic valve replacement. Based on the literature, we further discuss the incidence of SVD after TAVR, the durability of ACURATE NEO, and the modes of failure of biological valve prostheses. Frontiers Media S.A. 2023-05-25 /pmc/articles/PMC10248160/ /pubmed/37304949 http://dx.doi.org/10.3389/fcvm.2023.1135496 Text en © 2023 Schaeffer, Koechlin, Jeger, Leibundgut and Reuthebuch. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Schaeffer, Thibault
Koechlin, Luca
Jeger, Raban
Leibundgut, Gregor
Reuthebuch, Oliver
Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_full Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_fullStr Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_full_unstemmed Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_short Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_sort severe structural valve deterioration after tavr with acurate neo: report of two cases
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248160/
https://www.ncbi.nlm.nih.gov/pubmed/37304949
http://dx.doi.org/10.3389/fcvm.2023.1135496
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