Subacute Aortic Root and Valve Thrombosis following Transcatheter Aortic Valve Replacement in a Left Ventricular Assist Device Patient: From One Problem to the Next

Figures

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  Figure 1. Transesophageal image of the aortic valve in the transgastric view. Biplane imaging is utilized to visualize the aortic valve (blue asterisk) and mitral valve (red asterisk) in end diastole. The bottom panels demonstrate color Doppler of the same biplane view with significant AR noted.

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  Figure 2. Transgastric transesophageal echocardiogram view showing the inflow cannula of the LVAD with laminar flow.

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  Figure 3. Diastolic frame from deep transgastric view taken 15 minutes after valve implantation. Sapien valve stable in position and minimal paravalvular leak (PVL) noted. LV, Left ventricle.

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  Figure 4. (A) Postprocedural computed tomography (CT) shows the ostium and proximal portion of the left main coronary artery (red asterisk) and significant thrombus within the implanted transcatheter aortic valve (orange dagger). (B) Postprocedural CT shows the ostium and proximal portion of the right coronary artery (yellow asterisk).

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  Figure 5. Thrombosed transcatheter aortic valve seen at the time of cardiac transplantation.