Late postoperative aortic valve pop-out after transcatheter aortic valve implantation:successful rescue with double-snare repositioning and redo-transcatheter aortic valve implantationOA
An 88-year-old woman was referred to our center due to severe symptomatic aortic stenosis and heart failure in NYHA class III.Transthoracic echocardiography showed respectively peak and mean gradients of 110 mmHg and 66 mmHg,and mild regurgitation.Following Heart Team evaluation,transcatheter aortic valve implantation(TAVI)was planned.Pre-procedural cardiac computed tomography revealed a tricuspid aortic valve with moderate calcification,with left ventricular outflow tract(LVOT)extension and an elliptical annulus and LVOT(annular diameters:18×26 mm,LVOT diameters:14×27 mm)(Figure 1).Due to tortuous accesses,a 25 mm Navitor Vision®(Abbott,IL,USA)transcatheter heart valve(THV)was selected for implantation via the right femoral artery.Given the morphology of the LVOT,the THV was repositioned several times,and the final position was high,yet stable and with no paravalvular leak(Figure 2A).
Ana Luísa Silva;Tatiana Pereira dos Santos;Ana Vera Marinho;Luís Leite;Elisabete Jorge;Joana Silva;Marco Costa;Lino Gonçalves
Serviço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,Portugal Coimbra Institute for Clinical and Biomedical Research,Faculdade de Medicina da Universidade de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,Portugal Coimbra Institute for Clinical and Biomedical Research,Faculdade de Medicina da Universidade de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,Portugal Coimbra Institute for Clinical and Biomedical Research,Faculdade de Medicina da Universidade de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,Portugal Coimbra Institute for Clinical and Biomedical Research,Faculdade de Medicina da Universidade de Coimbra,Coimbra,PortugalServiço de Cardiologia,Unidade Local de Saúde de Coimbra,Coimbra,Portugal Coimbra Institute for Clinical and Biomedical Research,Faculdade de Medicina da Universidade de Coimbra,Coimbra,Portugal
医药卫生
computed tomographytranscatheter aortic valve implantationtricuspid aortic valveheart failureaortic stenosisheart team evaluationtranscatheter aortic valve implantation tavidouble snare repositioningaortic valve pop
《Journal of Geriatric Cardiology》 2026 (6)
P.382-384,3
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