Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-28T01:55:58.979Z Has data issue: false hasContentIssue false
  • English
  • Français

Transient severe aortic regurgitation and left ventricular dysfunction due to a stuck leaflet in a patient undergoing percutaneous transcatheter aortic valve implantation

Published online by Cambridge University Press:  21 March 2012

Tahir Hamid ,
Ragheb Hasan  and
Vaikom S. Mahadevan
Tahir Hamid*
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, University of Central Manchester Foundation NHS Trust, United Kingdom
Ragheb Hasan
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, University of Central Manchester Foundation NHS Trust, United Kingdom
Vaikom S. Mahadevan
Affiliation:
Manchester Heart Centre, Manchester Royal Infirmary, University of Central Manchester Foundation NHS Trust, United Kingdom
*
Correspondence to: Dr T. Hamid, MRCP, FESC, Manchester Heart Centre, Manchester Royal Infirmary, University of Central Manchester Foundation NHS Trust, Oxford Road, Manchester M13 9WL, United Kingdom. Tel: +44 161 232 1944; Fax: +44 161 276 3335; E-mail: Tahirhamid76@yahoo.co.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

We report the case of a 78-year-old patient who underwent transcatheter aortic valve implantation. During the deployment, the leaflets of the implanted valve appeared to be stuck in calcium protruding from the native aortic leaflets, resulting in transient severe aortic regurgitation leading to cardiac arrest with successful cardiac resuscitation. Transient severe aortic regurgitation secondary to the mechanical failure of the deployed valve can lead to serious clinical consequences.

Keywords

Percutaneous aortic valve implantationaortic valve stenosispulseless cardiac arrest
Type
Brief Report
Information
Cardiology in the Young , Volume 23 , Issue 1 , February 2013 , pp. 108 - 110
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Varadarajan, P, Kapoor, N, Bansal, RC, Pai, RG. Clinical profile and natural history of 453 non-surgically managed patients with severe aortic stenosis. Ann Thorac Surg 2006; 82: 2111–2115.Google Scholar
2. Otto, CM, Mickel, MC, Kennedy, JW, et al. Three-year outcome after balloon aortic valvuloplasty: insights into prognosis of valvular aortic stenosis. Circulation 1994; 89: 642–650.Google Scholar
3. Hamid, T, Eichhöfer, J, Clarke, B, Mahadevan, VS. Balloon valvuloplasty: is there still a role in high-risk patients in the era of percutaneous aortic valve replacement? J Interv Cardiol 2010; 23: 358–361.Google Scholar
4. Cribier, A, Eltchaninoff, H, Bash, A, et al. Percutaneous transcatheter implantation of an aortic valve prosthesis for calcified aortic stenosis: first human case description. Circulation 2002; 106: 3006–3008.Google Scholar
5. Cribier, A, Eltchaninoff, H, Tron, C, et al. Early experience with percutaneous transcatheter implantation of heart valve prosthesis for the treatment of end-stage inoperable patients with calcific aortic stenosis. J Am Coll Cardiol 2004; 43: 698–703.Google Scholar
6. Webb, JG, Chandavimol, M, Thompson, CR, et al. Percutaneous aortic valve implantation retrograde from the femoral artery. Circulation 2006; 113: 842–850.Google Scholar
7. Grube, E, Buellesfeld, L, Mueller, R, et al. Progress and current status of percutaneous aortic valve replacement: results of three device generations of the CoreValve Revalving System. Circ Cardiovasc Interv 2008; 1: 167–175.Google Scholar
8. Dağdelen, S, Karabulut, H, Alhan, C. Acute left main coronary artery occlusion following TAVI and emergency solution. Anadolu Kardiyol Derg 2011; 11: 747–748.Google ScholarPubMed
9. Hanzel, GS, Harrity, PJ, Schreiber, TL, O'Neill, WW. Retrograde percutaneous aortic valve implantation for critical aortic stenosis. Catheter Cardiovasc Interv 2005; 64: 322–326.Google Scholar
10. Clavel, MA, Dumont, E, Pibarot, P, et al. Severe valvular regurgitation and late prosthesis embolization after percutaneous aortic valve implantation. Ann Thorac Surg 2009; 87: 618–621.Google Scholar

Hamid supplementary material

Movie 1

Download Hamid supplementary material(Video)
Video 2.9 MB

Hamid supplementary material

Movie 2

Download Hamid supplementary material(Video)
Video 2.7 MB