Troubleshooting Valve-in-valve Transcatheter Aortic Valve Replacement with Transesophageal Echocardiography: Case Report

JOURNAL TITLE: Journal of Perioperative Echocardiography

Author
1. Sujitha R Karri
2. Parag Barwad
3. Rajarajan Ganesan
ISSN
2320-527X
DOI
10.5005/jp-journals-10034-1120
Volume
9
Issue
1
Publishing Year
2021
Pages
4
  • Article keywords
    Degenerated bioprosthesis, Malformed strut, Perioperative echocardiography, Transcatheter Aortic valve replacement, Transcatheter heart valve, Transesophageal echocardiography, Valve-in-valve

    Abstract

    Background: Valve-in-valve transcatheter heart valve (ViV THV) differs from native transcatheter heart valve (THV) in preprocedural assessment, procedure and anticipated complications during procedure. Transesophageal echocardiography (TEE) plays a supplemental role to guide cardiologist during procedure and helps in monitoring complications. Methods: In this case report, we describe the TEE findings observed during a valve-in-valve transcatheter aortic valve replacement (ViV TAVR) procedure. The findings helped to guide the procedure, supplemented detecting a rare complication of malformed THV and thereby improved patient outcome. Conclusion: TEE can prevent complications, detect abnormalities early, and improve patient outcome, when taken in conjunction with other imaging modalities.

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