March 16, 2026

Late Degeneration of a Transcatheter Aortic Valve Replacement Presenting With Flail Leaflet

Key Result

An 80-year-old man developed dyspnea due to flail leaflet in a transcatheter aortic valve replacement nine years after implantation of a 29-mm Evolut R valve.

Key Points

To explore the late degeneration of a transcatheter aortic valve replacement in an elderly patient.
Case report detailing patient history including prior surgical interventions and valve replacement.
Clinical observation of symptoms such as dyspnea.
Follow-up evaluation after valve implantation.
Patient presented with dyspnea nine years post-transcatheter aortic valve replacement.
Identified complications related to late degeneration of the valve and flail leaflet.

Structured PICO

Population

1 80-year-old man presenting with dyspnea, with a history of aborted surgical aortic valve replacement due to extensive ascending aortic calcification.

Intervention

Transcatheter aortic valve replacement with a 29-mm Evolut R self-expanding valve 9 years prior

Outcome

Late valve degeneration presenting with flail leaflet

This case highlights the potential for late structural valve degeneration presenting as a flail leaflet 9 years after self-expanding transcatheter aortic valve replacement.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

An 80-year-old man presented with dyspnea. Nine years earlier, he had undergone transcatheter aortic valve replacement with a 29-mm Evolut R self-expanding valve (Medtronic) following aborted surgical aortic valve replacement due to extensive ascending aortic calcification.

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