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

Cardiovasc Revasc Med. 2019 Aug;20(8):720-723. doi: 10.1016/j.carrev.2018.10.018. Epub 2018 Oct 18.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / pathology*
  • Aortic Valve / surgery
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / etiology
  • Aortic Valve Stenosis / surgery*
  • Calcinosis / diagnostic imaging
  • Calcinosis / etiology
  • Calcinosis / surgery*
  • Female
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Humans
  • Reoperation
  • Transcatheter Aortic Valve Replacement* / instrumentation
  • Treatment Failure

Supplementary concepts

  • Aortic Valve, Calcification of