Successful implantation of a second-generation aortic valve in severe aortic regurgitation secondary to a traumatic cusp lesion

Antonio Mangieri, Azeem Latib, Andrea Aurelio, Filippo Figini, Eustachio Agricola, Isabella Rosa, Stefano Stella, Pietro Spagnolo, Alessandro Castiglioni, Antonio Colombo

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 67-year-old man with a dilated cardiomyopathy and severe aortic regurgitation (AR) secondary to a traumatic cusp lesion was referred to our institution because of progressive worsening of dyspnea. After formal discussion in the heart team, the patient was scheduled for TAVI (transcatheter aortic valve implantation). The pre procedural computed tomography scan revealed a minimum amount of calcium on the aortic valve and low position of coronary ostia. The TAVI procedure was performed with the implantation of a fully retrievable and repositionable aortic valve prosthesis (Direct Flow 29 mm, Direct Flow Medical, Santa Rosa, California) with an excellent result and no paravalvular leak. The TAVI devices designed for the treatment of calcific aortic stenosis have numerous limitations for the treatment of pure AR such as the risk of residual AR, the lack of repositionability and retrievability, and the need for valve- in-valve implantation. We believe that treatment of selected cases of pure AR with the Direct Flow valve is feasible and takes advantage of the retrievability of the prosthesis.

Original languageEnglish
Pages (from-to)429-431
Number of pages3
JournalCardiovascular Revascularization Medicine
Volume16
Issue number7
DOIs
Publication statusPublished - Oct 1 2015

Fingerprint

Aortic Valve Insufficiency
Aortic Valve
Prostheses and Implants
Dilated Cardiomyopathy
Dyspnea
Therapeutics
Tomography
Calcium
Equipment and Supplies
Transcatheter Aortic Valve Replacement

Keywords

  • Aortic regurgitation
  • Transcatheter aortic valve replacement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Successful implantation of a second-generation aortic valve in severe aortic regurgitation secondary to a traumatic cusp lesion. / Mangieri, Antonio; Latib, Azeem; Aurelio, Andrea; Figini, Filippo; Agricola, Eustachio; Rosa, Isabella; Stella, Stefano; Spagnolo, Pietro; Castiglioni, Alessandro; Colombo, Antonio.

In: Cardiovascular Revascularization Medicine, Vol. 16, No. 7, 01.10.2015, p. 429-431.

Research output: Contribution to journalArticle

Mangieri, Antonio ; Latib, Azeem ; Aurelio, Andrea ; Figini, Filippo ; Agricola, Eustachio ; Rosa, Isabella ; Stella, Stefano ; Spagnolo, Pietro ; Castiglioni, Alessandro ; Colombo, Antonio. / Successful implantation of a second-generation aortic valve in severe aortic regurgitation secondary to a traumatic cusp lesion. In: Cardiovascular Revascularization Medicine. 2015 ; Vol. 16, No. 7. pp. 429-431.
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