Procedural Techniques for the Management of Severe Transvalvular and Paravalvular Aortic Regurgitation During TAVR

Abdulla A. Damluji, Carlos E. Alfonso, Mauricio G. Cohen

Research output: Contribution to journalArticle

Abstract

Aortic regurgitation (AR) after transcatheter aortic valve replacement (TAVR) is associated with an increased risk of mortality. In severe cases, abrupt hemodynamic changes may occur with a sudden increase in left ventricular end-diastolic pressure that results in frank pulmonary edema, hypoxia, and cardiogenic shock. Here, the case is reported of a patient who developed severe AR immediately after valve deployment that led to severe hemodynamic compromise. The procedural techniques necessary for the immediate management of severe transvalvular and paravalvular AR are described.

Original languageEnglish (US)
Pages (from-to)18-21
Number of pages4
JournalThe Journal of heart valve disease
Volume26
Issue number1
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Medicine(all)

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