Korean Circ J.  2020 Jun;50(6):539-541. 10.4070/kcj.2019.0406.

Infolding Distortion of Evolut R Valve after Transcatheter Aortic Valve Replacement

• Kim MC
• Kim JH
• Cho KH
• Sim DS
• Hong YJ
• Ahn Y
• Jeong MH

• KMID: 2500959
• DOI: http://doi.org/10.4070/kcj.2019.0406

Figure

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  Figure 1 Infolding distortion of Evolut R valve strut (arrow).

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  Figure 2 Serial echocardiography after 1 day post-TAVR revealed valve distortion (Left) with mild paravalvular leakage (Right).

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  Figure 3 Computed tomography images between and after TAVR. Images at annuls level: (A) pre-TAVR and (B) post-TAVR and at Valsalva sinus level: (C) pre-TAVR and (D) post-TAVR.TAVR = transcatheter aortic valve replacement.

Reference

1. Kamperidis V, van der Kley F, Katsanos S, Delgado V. CoreValve stent frame misdeployment and increased transvalvular gradient. Eur Heart J Cardiovasc Imaging. 2014; 15:832. PMID: 24497519.

2. Sinning JM, Vasa-Nicotera M, Ghanem A, Grube E, Nickenig G, Werner N. An exceptional case of frame underexpansion with a self-expandable transcatheter heart valve despite predilation. JACC Cardiovasc Interv. 2012; 5:1288–1289. PMID: 23257378.

3. Wiper A, Chauhan A, More R, Roberts D. CoreValve frame distortion: the importance of meticulous valve loading. JACC Cardiovasc Interv. 2014; 7:222–223. PMID: 24556099.

4. Kataoka A, Watanabe Y, Nagura F, et al. Balloon valvuloplasty for Evolut R infolding: useful transesophageal echocardiographic monitoring for diagnosis and efficacy. JACC Cardiovasc Interv. 2018; 11:e135–e136. PMID: 30121279.

5. Kaple RK, Salemi A, Wong SC. Balloon valvuloplasty treatment of an infolded CoreValve. Catheter Cardiovasc Interv. 2017; 89:499–501. PMID: 26508359.