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Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve.

ABSTRACT: 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.

SUBMITTER: Ali N 

PROVIDER: S-EPMC8290901 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature

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Untreatable Severe Structural Degeneration of a Transcatheter Aortic Heart Valve.

Ali Noman N   Malkin Christopher J CJ   Cunnington Michael S MS   Lederman Robert J RJ   Blackman Daniel J DJ  

JACC. Case reports 20200318 3

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 valvulopla  ...[more]

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