Emergency Transcatheter Aortic Valve Implantation in a Surgical Aortic Bioprosthetic Valve for Acute Decompensated Heart Failure Caused by Sudden Progression of Structural Valve Deterioration

Bioprosthetic aortic valves have limited durability. We herein report sudden progression of structural valve deterioration (SVD) and a successful case of emergency transcatheter aortic valve (TAV) implantation for acute decompensated heart failure (ADHF) caused by SVD. A 79-year-old man who had unde...

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Detalles Bibliográficos
Autores principales: Tokonami, Yuki, Tawarahara, Kei, Kanda, Takahiro, Ishibashi, Fumimaro, Kato, Haruta, Nakamura, Naoki, Aoshima, Hiroyuki, Matsukura, Gaku, Ozeki, Mariko, Ukigai, Hiroshi, Takeuchi, Ryosuke, Yamaguchi, Ryo, Yamamoto, Masanori, Koide, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10258101/
https://www.ncbi.nlm.nih.gov/pubmed/36171127
http://dx.doi.org/10.2169/internalmedicine.0459-22
Descripción
Sumario:Bioprosthetic aortic valves have limited durability. We herein report sudden progression of structural valve deterioration (SVD) and a successful case of emergency transcatheter aortic valve (TAV) implantation for acute decompensated heart failure (ADHF) caused by SVD. A 79-year-old man who had undergone a Bentall operation 11 years prior was diagnosed with ADHF due to suddenly progressive SVD. Emergency TAV implantation in the surgical bioprosthetic valve was selected based on the surgical risk. Ours and previous case reports suggest that SVD can progress suddenly, even after months of stability, and that emergency TAV implantation is effective.

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