Transcatheter Aortic Valve Replacement for Aortic Stenosis With Prosthetic Mitral Paravalvular Leak and Hemolytic Anemia

This report describes a successful transcatheter aortic valve replacement in an older patient with severe aortic stenosis, mitral paravalvular leak, and associated hemolytic anemia. Transcatheter aortic valve replacement is worth considering as a first-line procedure in this high-risk patient becaus...

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Published inJACC. Case reports Vol. 2; no. 14; pp. 2146 - 2150
Main Authors Kanzaki, Hideaki, Shimahara, Yusuke, Amaki, Makoto, Okada, Atsushi, Fujita, Tomoyuki, Izumi, Chisato, Yasuda, Satoshi, Kobayashi, Junjiro
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 18.11.2020
Elsevier
Subjects
aortic stenosis
Case Report
hemolysis
paravalvular leak
transcatheter aortic valve replacement
AS
aortic stenosis
PVL
transcatheter aortic valve replacement
MVR
case report
paravalvular leak
LV
hemolysis
TAVR
PVL, paravalvular leak
LV, left ventricular/ventricle
MVR, mitral valve replacement
AS, aortic stenosis
TAVR, transcatheter aortic valve replacement
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Summary:This report describes a successful transcatheter aortic valve replacement in an older patient with severe aortic stenosis, mitral paravalvular leak, and associated hemolytic anemia. Transcatheter aortic valve replacement is worth considering as a first-line procedure in this high-risk patient because of its beneficial impact on reducing shear forces at the mitral valve. (Level of Difficulty: Intermediate.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.07.064