Key result
Transcatheter aortic valve implantation using a Myval transcatheter heart valve was successfully performed in a young female patient with severe de novo aortic regurgitation supported by an LVAD.
Why the study?
De novo aortic regurgitation after LVAD implantation presents a clinical challenge, and patients often have high surgical risk for redo sternotomy.
Case Report (n=1)
No
TAVI using the Myval transcatheter heart valve is a feasible treatment for severe de novo aortic regurgitation in patients supported with a left ventricular assist device.
De novo aortic regurgitation (AR) presents a great challenge following left ventricular assist device (LVAD) implantation and requires valve replacement in some cases. Patients with LVAD are frequently those who underwent multiple previous sternotomies or suffer from multiple comorbidities. Thus, they are at high surgical risk for further sternotomy. Transcatheter aortic valve implantation (TAVI) previously approved for treatment of severe aortic stenosis is also used for this category of patients. Here, we report the case of a young female patient supported with heart mate II LVAD who presented with severe de novo AR. The patient was successfully treated with TAVI using Myval trancatheter heart valve (THV) in our center. To our knowledge, our patient is the first to be treated with such type of valve using TAVI procedure in LVAD supported patients.
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Hamieh et al. (2023) conducted a case report in Severe de novo aortic regurgitation following left ventricular assist device (LVAD) implantation (n=1). Transcatheter aortic valve implantation (TAVI) using Myval transcatheter heart valve (THV) was evaluated on Procedural success. Transcatheter aortic valve implantation using a Myval transcatheter heart valve was successfully performed in a young female patient with severe de novo aortic regurgitation supported by an LVAD.
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