Late surgical explantation of a transcatheter heart valve in a patient with a porcelain aorta

Eur J Cardiothorac Surg. 2019 May 1;55(5):1008-1011. doi: 10.1093/ejcts/ezy327.

Abstract

Structural valve deterioration is a well-studied phenomenon in bioprosthetic heart valves. Conversely, structural valve deterioration after transcatheter aortic valve implantation is not as well-elucidated. Therefore, late surgical explantation after transcatheter aortic valve implantation is an infrequent procedure, and thus, surgical findings and management of such cases remain unclear, particularly in patients previously labelled as 'inoperable' or at 'high risk'. Herein, we report the case of a late surgical explantation of a transcatheter heart valve (THV) 7 years after its implantation in a patient with a porcelain aorta and periprosthetic regurgitation.

Keywords: Porcelain aorta; Structural valve deterioration; TAVI.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta / diagnostic imaging
  • Aorta / surgery*
  • Ceramics / therapeutic use
  • Device Removal*
  • Heart Valve Prosthesis / adverse effects*
  • Humans
  • Male
  • Postoperative Complications / surgery*
  • Prosthesis Design
  • Reoperation
  • Tomography, X-Ray Computed
  • Transcatheter Aortic Valve Replacement* / adverse effects
  • Transcatheter Aortic Valve Replacement* / instrumentation