Procedural Techniques for the Management of Severe Transvalvular and Paravalvular Aortic Regurgitation During TAVR
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Abdulla A. Damluji1,2,4, Carlos E. Alfonso3, Mauricio G. Cohen3 1Beverly and Jerome Fine Cardiac Valve Center, Sinai Hospital of Baltimore, LifeBridge Health Cardiovascular Institute, Baltimore, USA2Division of Cardiology, Johns Hopkins University, Baltimore, USA 3Cardiovascular Division, Department of Medicine, University of Miami Miller School of Medicine and the Elaine and Sydney Sussman Cardiac Catheterization Laboratory, University of Miami Hospital, Miami, USA 4 Electronic correspondence: Abdulla.Damluji@jhu.edu |
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Aortic regurgitation (AR) after transcatheter aortic valve replacement (TAVR) is associated with an increased risk of mortality. In severe cases, abrupt hemodynamic changes may occur with a sudden increase in left ventricular end-diastolic pressure that results in frank pulmonary edema, hypoxia, and cardiogenic shock. Here, the case is
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reported of a patient who developed severe AR immediately after valve deployment that led to severe hemodynamic compromise. The procedural techniques necessary for the immediate management of severe transvalvular and paravalvular AR are described. The Journal of Heart Valve Disease 2017;26:18-21
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| Procedural Techniques for the Management of Severe Transvalvular and Paravalvular Aortic Regurgitation During TAVR | |
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