Acute Aortic Regurgitation After Transcatheter Aortic Valve Implantation Procedure

Bothayna Amien; Clare Appleby; Joe Mills; Kully Sandhu; Deborah Harrington

doi:10.7759/cureus.50345

Acute Aortic Regurgitation After Transcatheter Aortic Valve Implantation Procedure

Cureus. 2023 Dec 11;15(12):e50345. doi: 10.7759/cureus.50345. eCollection 2023 Dec.

Authors

Bothayna Amien¹, Clare Appleby², Joe Mills², Kully Sandhu², Deborah Harrington¹

Affiliations

¹ Department of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, GBR.
² Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, GBR.

Abstract

This study reports the case of a 75-year-old woman who developed aortic regurgitation (AR) a few hours after transcatheter aortic valve implantation (TAVI). The patient underwent the TAVI procedure for aortic stenosis and became hypotensive in recovery. A transthoracic echo revealed cardiac tamponade and around 1500 ml of blood was drained over several hours. Further advice was sought from the surgical team, and a transoesophageal echo revealed significant AR, which was confirmed by a transthoracic echo performed the next day. The patient underwent an emergency surgical aortic valve replacement. This case study demonstrates one of the complications of the TAVI procedure, acute AR, which was diagnosed a few hours after the procedure.

Keywords: aortic regurgitation; aortic valve replacement (avr); cardiac tamponade; paravalvular leak; pericardial effusion; transcatheter aortic valve implantation (tavi).

Publication types

Case Reports