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. 2021 Jun 16;3(6):910-912.
doi: 10.1016/j.jaccas.2021.04.032. eCollection 2021 Jun.

Fluttering Bioprosthetic Valve Leaflet Detected by Intravascular Ultrasound During Valve-in-Valve Transcatheter Aortic Valve Replacement

Yosei Iseki  1 , Hirofumi Hioki  1 , Yusuke Watanabe  1 , Akihisa Kataoka  1 , Ken Kozuma  1
Affiliations

Fluttering Bioprosthetic Valve Leaflet Detected by Intravascular Ultrasound During Valve-in-Valve Transcatheter Aortic Valve Replacement

Yosei Iseki et al. JACC Case Rep. .

Abstract

We report fluttering bioprosthetic leaflet, assessed by intravascular ultrasound, during valve-in-valve transcatheter aortic valve replacement, successfully treated by using chimney stenting. Valve-in-valve transcatheter aortic valve replacement is still a challenging situation, particularly in cases with a shallow distance between leaflet and coronary ostium; a multimodality imaging approach helped manage this situation. (Level of Difficulty: Intermediate.).

Keywords: IVUS, intravascular ultrasound; LCA, left coronary artery; TAVR, transcatheter aortic valve replacement; aortic stenosis; coronary occlusion; valve restenosis.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Peri-Procedural Images During Valve-in-Valve TAVR (A) Computed tomography image. (B) Electrocardiographic change during transcatheter aortic valve replacement (TAVR). (C) Coronary angiography after TAVR revealed a radiopaque structure near an ostium of the left coronary artery. (D) Intravascular ultrasound image revealed fluttering leaflet (white arrows) of the bioprosthetic valve. (E) Final coronary angiography and intravascular ultrasound image revealed well-expanded coronary stent. (F) Computed tomography images after TAVR.
See this image and copyright information in PMC

References

    1. Ribeiro H.B., Rodes-Cabau J., Blanke P. Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVD registry. Eur Heart J. 2018;39:687–695. - PubMed
    1. Divir D., Leipsic J., Blanke P. Coronary obstruction in transcatheter aortic valve-in-valve implantation: preprocedural evaluation, device selection, protection, and treatment. Circ Cardiovasc Interv. 2015;8 - PubMed
    1. Brener S.J., Serruys P.W., Morice M.C. Optimal duration of dual antiplatelet therapy after left main coronary stenting. J Am Coll Cardiol. 2018;72:2086–2087. - PubMed