Caution is required when considering TAVI for pure aortic regurgitation in patients with an implanted LVAD due to the risk of valve migration into the left ventricle.
Highlights extreme caution for TAVI in pure aortic regurgitation with concurrent LVAD.
We describe a patient with a HeartMate 3 left ventricular assist device in whom we attempted transcatheter aortic valve implantation for severe aortic regurgitation. The valve migrated into the left ventricle and lodged on the left ventricular assist device inflow cannula. Caution should be exercised when considering the use of transcatheter aortic valve implantation in patients with an implanted left ventricular assist device, with pure aortic regurgitation.
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Ali et al. (2020) studied this question.
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