Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale

We describe a patient who presented with heart failure 7 years post-transcatheter aortic valve implantation (TAVI) as a result of severe structural valve degeneration. Anatomic challenges, combined with the type of transcatheter heart valve used initially, meant that TAVI-in-TAVI risked obstructing...

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Detalles Bibliográficos
Autores principales: Ali, Noman, Malkin, Christopher J., Cunnington, Michael S., Lederman, Robert J., Blackman, Daniel J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8290901/
https://www.ncbi.nlm.nih.gov/pubmed/34291227
http://dx.doi.org/10.1016/j.jaccas.2020.01.023
Descripción
Sumario:We describe a patient who presented with heart failure 7 years post-transcatheter aortic valve implantation (TAVI) as a result of severe structural valve degeneration. Anatomic challenges, combined with the type of transcatheter heart valve used initially, meant that TAVI-in-TAVI risked obstructing the coronary arteries, even if preceded by bioprosthetic aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction. The patient was treated with balloon aortic valvuloplasty.

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