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
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author Ali, Noman
Malkin, Christopher J.
Cunnington, Michael S.
Lederman, Robert J.
Blackman, Daniel J.
author_facet Ali, Noman
Malkin, Christopher J.
Cunnington, Michael S.
Lederman, Robert J.
Blackman, Daniel J.
author_sort Ali, Noman
collection PubMed
description 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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spelling pubmed-82909012021-07-20 Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale Ali, Noman Malkin, Christopher J. Cunnington, Michael S. Lederman, Robert J. Blackman, Daniel J. JACC Case Rep Case Report 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. Elsevier 2020-03-18 /pmc/articles/PMC8290901/ /pubmed/34291227 http://dx.doi.org/10.1016/j.jaccas.2020.01.023 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ali, Noman
Malkin, Christopher J.
Cunnington, Michael S.
Lederman, Robert J.
Blackman, Daniel J.
Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title_full Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title_fullStr Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title_full_unstemmed Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title_short Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve: A Salutary Tale
title_sort untreatable severe structural degeneration of a transcatheter aortic heart valve: a salutary tale
topic Case Report
url 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
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