"Valve-in-valve" for the treatment of paravalvular leaks following transcatheter aortic valve implantation

Catheter Cardiovasc Interv. 2009 Dec 1;74(7):1116-9. doi: 10.1002/ccd.22168.

Abstract

Transcatheter aortic valve implantation (TAVI) is commonly associated with some degree of aortic regurgitation (AR) secondary to the presence of paravalvular leaks. We present the case of an 86-year-old woman diagnosed with severe aortic stenosis who underwent TAVI with a 23-mm Edwards-SAPIEN valve. The procedure complicated with a severe paravalvular leak following TAVI that was unresponsive to balloon postdilation. This complication was successfully managed with the implantation of a second valve of the same diameter within the first one ("valve-in-valve") resulting in trivial residual AR and the absence of significant transvalvular gradient at the end of the procedure.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / therapy*
  • Cardiac Catheterization / instrumentation*
  • Catheterization
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Female
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Prosthesis Design
  • Prosthesis Failure*
  • Radiography
  • Severity of Illness Index
  • Treatment Outcome