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You are here: Contents > 2013 > Volume 22 Number 2 March > CASE REPORT > Late Severe Left Ventricular Dysfunction after Successful Transapical Aortic Valve Implantation: A Cause for Concern

Late Severe Left Ventricular Dysfunction after Successful Transapical Aortic Valve Implantation: A Cause for Concern

Giuseppe Tarantini, Valeria Gasparetto, Diego Cecchin, Gino Gerosa

Cardiology Division and Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, Nuclear Medicine Service, University of Padua, Padua, Italy

An 88-year-old man with severe aortic stenosis and normal left ventricular ejection fraction underwent transcatheter aortic valve implantation via a transapical approach, without periprocedural complications. Some 16 months later the patient was readmitted because of worsening dyspnea, when left ventricular dysfunction due to apical akinesia was

identified. A gated, rest-only myocardial single-photon emission computed tomography (G-SPECT) demonstrated apical hypoperfusion that persisted after attenuation correction. Necrosis involved the apical and mid-inferior wall, the apical lateral wall, and the apical segment.

The Journal of Heart Valve Disease 2013;22:259-260

Late Severe Left Ventricular Dysfunction after Successful Transapical Aortic Valve Implantation: A Cause for Concern

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