A rare delayed complication after TAVR: Acute severe aortic insufficiency.
Ali Fatehi HassanabadAngela KealeyDouglas D SealMuhammad Rauf AhsanPublished in: Journal of cardiac surgery (2022)
Transcatheter aortic valve replacement (TAVR) has become the standard of care for managing severe aortic stenosis (AS) in high surgical risk patients. Despite favorable outcomes, TAVR has been associated with complications, such as aortic regurgitation (AR). Post-TAVR aortic insufficiency, which can present at any time after the procedure, manifests as paravalvular leak, central leak, or a combination of the two. Herein, we describe a unique and atypical case of a patient who presented with heart failure and was found to have severe AR in the context of having had TAVR 5 years prior using an Evolut R prosthetic valve.
Keyphrases
- aortic valve
- transcatheter aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- aortic valve replacement
- ejection fraction
- heart failure
- left ventricular
- early onset
- drug induced
- end stage renal disease
- aortic dissection
- healthcare
- chronic kidney disease
- newly diagnosed
- palliative care
- case report
- patient reported outcomes
- prognostic factors
- liver failure
- chronic pain
- metabolic syndrome
- pulmonary artery
- pain management
- minimally invasive
- insulin resistance
- health insurance
- affordable care act