A rare delayed complication after TAVR: Acute severe aortic insufficiency

Ali Fatehi Hassanabad; Angela Kealey; Douglas D Seal; Muhammad Rauf Ahsan

doi:10.1111/jocs.16866

A rare delayed complication after TAVR: Acute severe aortic insufficiency

J Card Surg. 2022 Nov;37(11):3925-3927. doi: 10.1111/jocs.16866. Epub 2022 Sep 8.

Authors

Ali Fatehi Hassanabad¹, Angela Kealey², Douglas D Seal³, Muhammad Rauf Ahsan¹

Affiliations

¹ Section of Cardiac Surgery, Libin Cardiovascular Institute, Calgary, Canada.
² Section of Cardiology, Libin Cardiovascular Institute, Calgary, Canada.
³ Department of Anesthesiology, Cumming School of Medicine, Calgary, Canada.

PMID: 36073090
DOI: 10.1111/jocs.16866

Abstract

Transcatheter aortic valve replacement (TAVR) has become the standard of care for managing severe aortic stenosis (AS) in high surgical risk patients. Despite favorable outcomes, TAVR has been associated with complications, such as aortic regurgitation (AR). Post-TAVR aortic insufficiency, which can present at any time after the procedure, manifests as paravalvular leak, central leak, or a combination of the two. Herein, we describe a unique and atypical case of a patient who presented with heart failure and was found to have severe AR in the context of having had TAVR 5 years prior using an Evolut R prosthetic valve.

Keywords: Evolut R; TAVR; aortic insufficiency; cardiac surgery.

Publication types

Case Reports

MeSH terms

Aortic Valve / surgery
Aortic Valve Insufficiency* / etiology
Aortic Valve Insufficiency* / surgery
Aortic Valve Stenosis* / complications
Heart Valve Prosthesis* / adverse effects
Humans
Prosthesis Design
Risk Factors
Severity of Illness Index
Time Factors
Transcatheter Aortic Valve Replacement* / adverse effects
Treatment Outcome