Complete fusion of a percutaneous aortic valve placed after ventricular assist device

Stephen L Derryberry; Renaldo D Williams; Joseph L Fredi; Stephen K Ball

doi:10.1093/icvts/ivx085

Complete fusion of a percutaneous aortic valve placed after ventricular assist device

Interact Cardiovasc Thorac Surg. 2017 Aug 1;25(2):329-330. doi: 10.1093/icvts/ivx085.

Authors

Stephen L Derryberry¹, Renaldo D Williams¹, Joseph L Fredi², Stephen K Ball¹

Affiliations

¹ Cardiac Surgery Department, Vanderbilt University Medical Center, Nashville, TN, USA.
² Interventional Cardiology Department, Vanderbilt University Medical Center, Nashville, TN 37232, USA.

PMID: 28475802
DOI: 10.1093/icvts/ivx085

Abstract

Severe aortic insufficiency following continuous flow left ventricular assist device (LVAD) placement requires intervention. Conventional corrective approaches are varied and morbid. Increasingly, percutaneous solutions, such as transcatheter aortic valve replacement (TAVR), have been used to rescue these patients. The unique flow characteristics in the aortic root following LVAD implantation may have unintended consequences to the TAVR leaflets. We describe the premature fusion of TAVR leaflets following 159 days of LVAD support. TAVR should be used with some caution in patients with continuous flow LVADs.

Keywords: Cardiac transplantation; Left ventricular assist device; Transcatheter aortic valve replacement.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aortic Valve / surgery*
Aortic Valve Insufficiency / etiology
Aortic Valve Insufficiency / surgery*
Cardiomyopathies / surgery
Female
Heart-Assist Devices / adverse effects*
Humans
Male
Transcatheter Aortic Valve Replacement / methods*