Transcatheter aortic valve implantation for degenerative aortic valve regurgitation long after heart transplantation.

Zanuttini, Davide; Armellini, Ilaria; Bisceglia, Teodoro; Spedicato, Leonardo; Bernardi, Guglielmo; Muzzi, Rodolfo; Proclemer, Alessandro; Livi, Ugolino · Ann Thorac Surg · 2013

case_report · Level V

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Abstract

Transcatheter aortic valve implantation (TAVI) has become a feasible therapeutic option for the management of high-risk patients with severe degenerative aortic stenosis. Recently it has been extended to high-risk patients with severe aortic regurgitation. Degenerative aortic valve disease is generally uncommon in heart transplant recipients. We report the case of a 75-year-old man in whom severe degenerative aortic regurgitation developed 14 years after heart transplantation (HTx). Because of multiple comorbidities and high surgical risk, TAVI was preferred. A 29-mm CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) was successfully implanted using a transfemoral approach.

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