Key result
Spontaneous Trifecta leaflet dehiscence necessitates redo SAVR instead of planned valve-in-valve TAVR.
Why the study?
The mode of degeneration of aortic valve prosthesis and the risks of transcatheter aortic valve replacement in this context are important to understand.
Case Report (n=1)
No
This case highlights spontaneous partial leaflet dehiscence as a mechanism of Trifecta bioprosthetic valve failure, emphasizing the need for careful evaluation before valve-in-valve TAVR.
Spontaneous leaflet dehiscence may preclude valve-in-valve TAVR in degenerated Trifecta valves; leaves open optimal pre-procedural imaging protocols.
A 69-year-old man presented for valve-in-valve transcatheter aortic valve replacement for bioprosthetic aortic stenosis. He was discovered to have severe aortic regurgitation caused by partial dehiscence of an aortic valve leaflet. We highlight the mode of degeneration of aortic valve prosthesis and the risks of transcatheter aortic valve replacement in this context.
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Abdel‐Razek et al. (2025) conducted a case report in Bioprosthetic aortic valve degeneration (n=1). Surgical aortic valve replacement was evaluated on Clinical outcome. A 69-year-old man with a degenerated Trifecta bioprosthesis was found to have spontaneous partial leaflet dehiscence, necessitating surgical aortic valve replacement instead of planned valve-in-valve TAVR.
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