Clinical Research in Cardiology

, Volume 99, Issue 3, pp 193–197

Severe aortic regurgitation after percutaneous transcatheter aortic valve implantation: on the importance to clarify the underlying pathophysiology

  • Ralf Zahn
  • Rudolf Schiele
  • Caroline Kilkowski
  • Uwe Zeymer
Clinical Correspondence

DOI: 10.1007/s00392-009-0102-5

Cite this article as:
Zahn, R., Schiele, R., Kilkowski, C. et al. Clin Res Cardiol (2010) 99: 193. doi:10.1007/s00392-009-0102-5

Abstract

Severe symptomatic aortic stenosis in a 90-year-old man was treated with percutaneous aortic valve implantation (TAVI) with a 29-mm CoreValve Revalving™ system. Following implantation, severe aortic regurgitation occurred. Echocardiography showed a small paravalvular and a huge valvular leakage, probably due to one malfunctioning valve leaflet. Concerning this pathophysiology, a further TAVI was performed using a second 29-mm CoreValve Revalving™ system, as a “valve-in-valve” implantation.

Keywords

Aortic stenosis Aortic valve Transcatheter aortic valve implantation Aortic regurgitation 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Ralf Zahn
    • 1
  • Rudolf Schiele
    • 1
  • Caroline Kilkowski
    • 1
  • Uwe Zeymer
    • 1
  1. 1.Kardiologie/Pneumologie/Angiologie/Internistische IntensivmedizinHerzzentrum LudwigshafenLudwigshafenGermany