Early Postoperative Thrombosis of Transcatheter Aortic Valve-in-Valve Prosthesis.

Francica, Alessandra; Dodonov, Mikhail; Tonelli, Filippo; Paolino, Gaetano; Pesarini, Gabriele; Ribichini, Flavio; Faggian, Giuseppe; Onorati, Francesco · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

Valve-in-valve transcatheter aortic valve replacement (ViV-TAVR) has been popularized as an attractive alternative to redo surgical aortic valve replacement for bioprosthetic valve dysfunction. Acute valve thrombosis has been occasionally described after ViV-TAVR. Lack of anticoagulant therapy has been always considered a crucial risk factor. This report describes a rare case of early postoperative fatal ViV-TAVR thrombosis despite adequate anticoagulation in addition to dual antiplatelet therapy.

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