Aortic Regurgitation after TAVR: From Bad to Worse
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Nick Hiltrop1, Tom Adriaenssens1,2, Paul Herijgers2,3, Christophe Dubois2 1Department of Cardiovascular Medicine, University Hospitals Leuven, Leuven, 2Department of Cardiovascular Sciences, KU Leuven, Leuven, 3Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium |
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Transcatheter aortic valve replacement (TAVR) is a valuable alternative in surgical high-risk patients with symptomatic aortic valve stenosis. Here, the case is presented of very early transcatheter heart valve degeneration, probably caused by a ‘Venturi effect’ of a severe paravalvular regurgitant jet. This ultimately led to a leaflet being in the open position, creating severe valvular regurgitation that necessitated classical surgical revision. The occurrence of paravalvular regurgitation, and its known relationship with an adverse prognosis after TAVR, demonstrates the clear need for innovative alterations in valve design to prevent this complication. |
The Journal of Heart Valve Disease 2016;25:182-184 |
| Aortic Regurgitation after TAVR: From Bad to Worse | |
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