Key result
Urgent SAVR successfully treats perioperative paraprosthetic regurgitation following TAVI.
Why the study?
Preoperative data and surgical outcomes of patients undergoing surgical AVR for paraprosthetic leak after transcatheter aortic valve implantation have not been properly evaluated.
Case Report (n=1)
TAVI-to-SAVR conversion in up to 8% of cases warrants procedural readiness; leaves open systematic evaluation of predictors and outcomes.
Conversion to surgical aortic valve replacement (AVR) has been described as a complication following transcatheter aortic valve implantation. This complication occurs in up to 8% of cases and, to the best of our knowledge, preoperative data and surgical outcomes of such patients have not been properly evaluated. Mild paraprosthetic regurgitation is commonly observed after transcatheter aortic valve implantation and usually leads to a benign clinical course. Unequal distribution of valve calcifications is described as a potential mechanism. We report a case of a perioperative paraprosthetic regurgitation that underwent successful urgent surgical AVR and review the incidence and results of paraprosthetic leaks following transcatheter implantation.
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Raffa et al. (2011) conducted a case report in Paraprosthetic leak after transcatheter aortic valve implantation (n=1). Surgical aortic valve replacement was evaluated. Urgent surgical aortic valve replacement successfully treated a case of perioperative paraprosthetic regurgitation following transcatheter aortic valve implantation.
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