Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases

被引:2
作者
Schaeffer, Thibault [1 ]
Koechlin, Luca [1 ]
Jeger, Raban [2 ]
Leibundgut, Gregor [2 ]
Reuthebuch, Oliver [1 ]
机构
[1] Univ Basel, Univ Hosp Basel, Dept Cardiac Surg, Basel, Switzerland
[2] Univ Basel, Univ Hosp Basel, Dept Cardiol, Basel, Switzerland
关键词
ACURATE Neo; TAVR explantation; structural valve deterioration (SVD); bioprosthesis failure; surgical aortic replacement; TRANSCATHETER; REPLACEMENT; FAILURE; BIOPROSTHESES;
D O I
10.3389/fcvm.2023.1135496
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Structural valve deterioration (SVD) of transcatheter implanted aortic valve (TAVR) prostheses leading to prosthesis dysfunction is an uncommon yet increasingly described complication. Literature is scarce on specific mechanisms and clinical presentation of SVD after TAVR, notably on self-expanding valve ACURATE Neo. We report on two cases with severe bioprosthetic failure after ACURATE Neo implantation due to leaflet disruption, and we treated them with surgical aortic valve replacement. Based on the literature, we further discuss the incidence of SVD after TAVR, the durability of ACURATE NEO, and the modes of failure of biological valve prostheses.
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页数:6
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