Korean Circ J.  2019 Jul;49(7):642-643. 10.4070/kcj.2018.0457.

Early Transcatheter Aortic Valve Failure Accompanied with Leaflet Perforation

• Lee JH
• Nam JH
• Park JS
• Lee DH

• KMID: 2450397
• DOI: http://doi.org/10.4070/kcj.2018.0457

Abstract

No abstract available.

MeSH Terms

Aortic Valve*

Figure

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  Figure 1 Pre-operative images. (A) Transthoracic echocardiography showed eccentric severe aortic regurgitation with a highly turbulent jet. (B) Transesophageal echocardiography showed eccentric severe aortic regurgitation without vegetation and abnormal leaflet thickening. (C) Computed tomography showing contrast filling defect (white arrow) within a CoreValve-prosthesis in axial view. AO = aorta; LA = left atrium; LV = left ventricle.

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  Figure 2 Intraoperative view. (A) The intraoperative view shows right coronary cusp perforation (white arrow) without vegetation and incomplete endothelization. (B) Cusp perforation can be seen from the other side. (C) Incomplete endothelization of the metallic portion of a CoreValve-prosthesis.

Reference

1. Mylotte D, Andalib A, Thériault-Lauzier P, et al. Transcatheter heart valve failure: a systematic review. Eur Heart J. 2015; 36:1306–1327.

2. Salaun E, Sportouch L, Barral PA, et al. Diagnosis of infective endocarditis after TAVR: value of a multimodality imaging approach. JACC Cardiovasc Imaging. 2018; 11:143–146.