Resolution of heart block after surgical correction of failed transcatheter aortic valve implantation

Ann Thorac Surg. 2015 Apr;99(4):1437-9. doi: 10.1016/j.athoracsur.2014.06.102.

Abstract

Surgical aortic valve replacement is the gold standard therapy for severe aortic stenosis but transcatheter aortic valve implantation (TAVI) is increasingly employed in "high-risk" patients. Atrioventricular block and aortic regurgitation are frequent complications of nitinol-based stented valves. We report a case of successful, but complex reoperative surgery 13 days after failed TAVI with iatrogenic aortic and mitral regurgitation and new-onset heart block. Removal of a CoreValve prosthesis (Medtronic Inc, Minneapolis, MN) with standard aortic valve replacement resulted in restoration of sinus rhythm and valvular competencies.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Insufficiency / diagnostic imaging
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / surgery*
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery
  • Atrioventricular Block / etiology*
  • Atrioventricular Block / physiopathology
  • Device Removal / methods
  • Echocardiography, Doppler / methods
  • Echocardiography, Transesophageal / methods
  • Heart Valve Prosthesis
  • Humans
  • Iatrogenic Disease*
  • Male
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / surgery*
  • Prosthesis Failure
  • Reoperation / methods
  • Risk Assessment
  • Severity of Illness Index
  • Transcatheter Aortic Valve Replacement / adverse effects*
  • Transcatheter Aortic Valve Replacement / methods
  • Treatment Outcome