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

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...

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Main Authors: Thibault Schaeffer, Luca Koechlin, Raban Jeger, Gregor Leibundgut, Oliver Reuthebuch
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1135496/full
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author Thibault Schaeffer
Luca Koechlin
Raban Jeger
Gregor Leibundgut
Oliver Reuthebuch
author_facet Thibault Schaeffer
Luca Koechlin
Raban Jeger
Gregor Leibundgut
Oliver Reuthebuch
author_sort Thibault Schaeffer
collection DOAJ
description 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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spelling doaj.art-a492b95e6a414b22bda02e6a1ae4a6c92023-05-25T04:30:40ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-05-011010.3389/fcvm.2023.11354961135496Severe structural valve deterioration after TAVR with ACURATE Neo: report of two casesThibault Schaeffer0Luca Koechlin1Raban Jeger2Gregor Leibundgut3Oliver Reuthebuch4Department of Cardiac Surgery, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiac Surgery, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiology, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiology, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiac Surgery, University Hospital Basel, University of Basel, Basel, SwitzerlandStructural 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.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1135496/fullACURATE NeoTAVR explantationstructural valve deterioration (SVD)bioprosthesis failuresurgical aortic replacement
spellingShingle Thibault Schaeffer
Luca Koechlin
Raban Jeger
Gregor Leibundgut
Oliver Reuthebuch
Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
Frontiers in Cardiovascular Medicine
ACURATE Neo
TAVR explantation
structural valve deterioration (SVD)
bioprosthesis failure
surgical aortic replacement
title Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_full Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_fullStr Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_full_unstemmed Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_short Severe structural valve deterioration after TAVR with ACURATE Neo: report of two cases
title_sort severe structural valve deterioration after tavr with acurate neo report of two cases
topic ACURATE Neo
TAVR explantation
structural valve deterioration (SVD)
bioprosthesis failure
surgical aortic replacement
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1135496/full
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