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.

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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
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article

An Easy Way to Solve the Stuck Leaflet Causing Aortic Regurgitation Following Transcatheter Aortic Valve Replacement

Nikolaos Kakouros, B Gebhardt, Neelima Katukuri, Matthew A. Lawlor et al.
Structural Heart
Cardiac Valve Diseases and Treatments
article

An Easy Way to Solve the Stuck Leaflet Causing Aortic Regurgitation Following Transcatheter Aortic Valve Replacement

Nikolaos Kakouros, B Gebhardt, Neelima Katukuri, Matthew A. Lawlor, Jennifer Walker
article en

Abstract

•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.

Structural HeartVol. 9(10)
University of Massachusetts Chan Medical School (US)
Zero hunger
Openalex Percentile: Top 73%
Cardiac Valve Diseases and Treatments
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An Easy Way to Solve the Stuck Leaflet Causing Aortic Regurgitation Following Transcatheter Aortic Valve Replacement — Nikolaos Kakouros, B Gebhardt, et al. · Structural Heart (2025) | TGRS Research Map | TGRS