Transcatheter aortic valve-in-valve implantation of a CoreValve in a JenaValve prosthesis: a case report

Journal of Medical Case Reports

Nikolaus Marx¹  Jörg Schröder¹  Michael Becker¹  Shahram Lotfi²  Rüdiger Autschbach²  Ajay Moza² 

[1] Department of Cardiology (Internal Medicine, Clinic I), RWTH University Aachen;Department of Thoracic and Cardiovascular Surgery, RWTH University Aachen;

关键词: TAVI;    Valve-in-valve;    Implantation;    Severe aortic stenosis;   

DOI  :  10.1186/s13256-017-1409-x

来源: DOAJ

【 摘 要 】

Abstract Background Transcatheter aortic valve implantation has become an accepted treatment modality for inoperable or high-risk surgical patients with symptomatic severe aortic stenosis. Case presentation We report the case of a 70-year-old white man who was treated for severe symptomatic aortic regurgitation using transcatheter aortic valve implantation from the apical approach. Because of recurrent cardiac decompensation 4 weeks after implantation he underwent the implantation of a left ventricular assist device system. A year later echocardiography showed a severe transvalvular central insufficiency. Our heart team decided to choose a valve-in-valve approach while reducing the flow rate of left ventricular assist device to minimum and pacing with a frequency of 140 beats/minute. There was an excellent result and our patient is doing well with no relevant insufficiency of the aortic valve at 12-month follow-up. Conclusion This is the first report about a successful treatment of a stenotic JenaValve using a CoreValve Evolut R; the use of a CoreValve Evolut R prosthesis may be an optimal option for valve-in-valve procedures.

【 授权许可】

Unknown