An Easy Way to Solve the Stuck Leaflet Causing Aortic Regurgitation Following Transcatheter Aortic Valve Replacement
•Intravalvular aortic regurgitation severity may be underestimated by transthoracic echocardiogram due to rapid pressure equalization.•Transthoracic echocardiogram may not differentiate PVL from eccentric central aortic regurgitation; transesophageal echocardiogram may be required.•Low diastolic pressures may be falsely attributed to vasoplegia or PVL.•Mechanical resolution with catheter techniques may avoid valve-in-valve procedures.•Rare cases of leaflet immobility are being reported even with newer generation SAPIEN 3 Ultra RESILIA valves.
Authors
- Nikolaos Kakouros (ORCID: https://orcid.org/0000-0002-2289-7598)
- B Gebhardt (ORCID: https://orcid.org/0000-0002-6372-8002)
- Neelima Katukuri (ORCID: https://orcid.org/0000-0002-7540-4822)
- Matthew A. Lawlor (ORCID: https://orcid.org/0000-0003-0700-5763)
- Jennifer Walker (ORCID: https://orcid.org/0000-0001-9342-2701)
Institutions
- University of Massachusetts Chan Medical School (US)
Publication Details
- Journal
- Structural Heart
- Published
- 2025-07-05
- DOI
- https://doi.org/10.1016/j.shj.2025.100697
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00