Severe intraprosthetic aortic insufficiency immediately after implantation of a SAPIEN 3 Ultra RESILIA valve with spontaneous resolution: case report.
Juan Armando DiazKen KobayashiDaisuke HachinoheRyo HoritaHidemasa ShitanPublished in: European heart journal. Case reports (2024)
This is the first reported case of significant intraprosthetic AI with the new S3UR in our literature search as of writing. The new S3UR valve has several improvements from previous generations designed to increase valve area and durability as well as decreasing the incidence of paravalvular and intraprosthetic leaks. A stuck leaflet was inferred as the cause of the intraprosthetic AI, and the improved design with excessive expansion may have led to this. Unlike previous case reports, intraprosthetic AI resolved without further intervention likely due to the turbulence of flow releasing the stuck leaflet. Cautious observation prevented the need for a TAV-in-TAV for a rare and possibly catastrophic complication.
Keyphrases
- aortic valve
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- mitral valve
- aortic stenosis
- case report
- artificial intelligence
- randomized controlled trial
- systematic review
- left ventricular
- high resolution
- early onset
- machine learning
- coronary artery disease
- single molecule
- mass spectrometry
- pulmonary hypertension
- deep learning
- drug induced
- atrial fibrillation
- pulmonary arterial hypertension
- pulmonary artery