Key result
Surgical aortic and mitral valve replacement was necessitated in a patient following early post-interventional aortic valve prosthesis migration and recurrent mitral valve regurgitation.
Case Report (n=1)
Highlights a rare complication of TAVI prosthesis migration causing severe MR, which ultimately required surgical double valve replacement despite initial interventional repair attempts.
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Post-TAVI prosthesis migration with recurrent MR may require surgical bailout; single case leaves open incidence and prevention strategies.
Transcatheter aortic valve implantation, as well as interventional mitral valve repair, offer reasonable therapeutic options for high-risk surgical patients. We report a rare case of early post-interventional aortic valve prosthesis migration to the left ventricular outflow tract, with paravalvular leakage and causing severe mitral valve regurgitation. Initial successful interventional mitral valve repair using a clipped edge-to-edge technique revealed, in a subsequent procedure, the recurrence of mitral valve regurgitation leading to progressive heart failure and necessitating subsequent surgical aortic and mitral valve replacement.
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Donndorf et al. (2013) conducted a case report in Aortic valve prosthesis migration and severe mitral valve regurgitation (n=1). Surgical double valve replacement was evaluated. Surgical aortic and mitral valve replacement was necessitated in a patient following early post-interventional aortic valve prosthesis migration and recurrent mitral valve regurgitation.
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