Severe aortic regurgitation after percutaneous transcatheter aortic valve implantation: on the importance to clarify the underlying pathophysiology

Severe symptomatic aortic stenosis in a 90-year-old man was treated with percutaneous aortic valve implantation (TAVI) with a 29-mm CoreValve Revalving™ system. Following implantation, severe aortic regurgitation occurred. Echocardiography showed a small paravalvular and a huge valvular leakage, pro...

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Bibliographic Details
Published in:Clinical research in cardiology 2010-03, Vol.99 (3), p.193-197
Main Authors: Zahn, Ralf, Schiele, Rudolf, Kilkowski, Caroline, Zeymer, Uwe
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aortic Valve Insufficiency - etiology
Aortic Valve Insufficiency - physiopathology
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - surgery
Cardiology
Clinical Correspondence
Echocardiography
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - methods
Humans
Male
Medicine
Medicine & Public Health
Postoperative Complications
Severity of Illness Index
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Description
Summary:Severe symptomatic aortic stenosis in a 90-year-old man was treated with percutaneous aortic valve implantation (TAVI) with a 29-mm CoreValve Revalving™ system. Following implantation, severe aortic regurgitation occurred. Echocardiography showed a small paravalvular and a huge valvular leakage, probably due to one malfunctioning valve leaflet. Concerning this pathophysiology, a further TAVI was performed using a second 29-mm CoreValve Revalving™ system, as a “valve-in-valve” implantation.
ISSN:1861-0684
1861-0692
DOI:10.1007/s00392-009-0102-5