Key result
Evolut R TAVR case reveals late valve degeneration presenting as flail leaflet 9 years post-implantation.
This case highlights the potential for late structural valve degeneration presenting as a flail leaflet 9 years after self-expanding transcatheter aortic valve replacement.
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Alizadeh et al. (2026) studied this question. 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.
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