• Fulminant Presentation of a Failed TAVR Valve: Successful Revision with a Transcatheter Approach – Case Report and Review of the Literature

    Highlights

    • We report here the successful valve-in-valve TAVR redo in a patient who presented five years after index procedure.
    • Redo TAVR VIV procedures may be performed safely and feasibly in critically ill patients at high surgical risk.
    • More studies are needed on long term durability of transcatheter valves and indications for redo TAVRs.

    Abstract

    Transcatheter Aortic Valve Replacement (TAVR) has evolved as a strategy for managing aortic stenosis in a growing proportion of patients considered at high or intermediate surgical risk. Though early data has demonstrated excellent durability and life span of transcatheter valves up to five years, there is an absence of case based studies in the literature regarding transcatheter valve failure after TAVR, and outcomes of subsequent redo TAVR Valve-in-Valve (VIV) procedures. We report here a successful case of emergent, catheter-based treatment for severe, highly symptomatic valve in valve restenosis of a 5 year old Sapien valve.

    Author bio

    Cardiovascular Revascularization Medicine, Copyright © 2018 Elsevier Inc.

     

    Source:

    Read the original article on Science Direct: Fulminant Presentation of a Failed TAVR Valve: Successful Revision with a Transcatheter Approach – Case Report and Review of the Literature

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