Late Clinical Presentation of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement

J Cardiothorac Vasc Anesth. 2019 Jan;33(1):245-248. doi: 10.1053/j.jvca.2018.03.005. Epub 2018 Mar 6.

Abstract

Prosthesis-patient mismatch (PPM) is relatively common after aortic valve replacement (AVR) and generally is associated with reduced regression of left ventricular (LV) mass. PPM after valve-in-valve transcatheter aortic valve replacement (TAVR) was reported to be 38%. PPM generally is manifested clinically by dyspnea and echocardiographically by high transvalvular gradients. In this E-Challenge, the authors will review a case of a late clinical presentation of PPM 1-year following a valve-in-valve TAVR.

Keywords: prosthesis-patient mismatch; prosthetic valve stenosis; transcatheter aortic valve replacement (TAVR); valvular thrombosis; ventricular remodeling.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Bioprosthesis / adverse effects*
  • Cardiac Catheterization
  • Echocardiography
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Prosthesis Failure
  • Risk Factors
  • Time Factors
  • Transcatheter Aortic Valve Replacement / adverse effects*