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