Surgical Aortic Valve Replacement Following Early Sapien-XT Valve Failure: A First

• Published in: Heart, lung & circulation Vol. 27; no. 4; pp. 513 - 516
• Main Authors: Ahmad, Tanveer, MCh, Ludhani, Prakash, MCh, Gurvitch, Ronen, FRACP, Goldblatt, John, FRACS, Tatoulis, James, FRACS
• Format: Journal Article
• Language: English
• Published: Australia Elsevier B.V 01.04.2018
• Subjects: Aged; Aortic stenosis; Aortic Valve - diagnostic imaging; Aortic Valve - surgery; Aortic Valve Insufficiency - diagnosis; Aortic Valve Insufficiency - etiology; Aortic Valve Insufficiency - surgery; Aortic Valve Stenosis - diagnosis; Aortic Valve Stenosis - surgery; Cardiovascular; Early TAVR valve degeneration; Echocardiography; Edwards Sapien-XT; Female; Heart Valve Prosthesis - adverse effects; Humans; Prosthesis Failure; Reoperation; TAVR; Transcatheter Aortic Valve Replacement - adverse effects; Aortic stenosis; Edwards Sapien-XT; TAVR; Early TAVR valve degeneration
• ISSN: 1443-9506; 1444-2892
• DOI: 10.1016/j.hlc.2017.04.004

Background Early degeneration of prosthetic aortic valve in transcatheter aortic valve replacement (TAVR) is a rare complication. Method We report the case of a 75-year-old woman who presented with severe calcific stenosis of Edwards SAPIEN-XT valve implanted only four years previously. She is a Jehovah’s Witness and has background of Sjogren’s syndrome with secondary cryoglobulinaemic vasculitis. She was not a suitable candidate for valve-in-valve TAVR in view of early prosthetic valve failure by calcification. Result She underwent surgical explantation of the Sapiens XT valve and mechanical aortic valve replacement. Conclusion To our knowledge, this is the first time that early TAVR valve degeneration and failure of an Edwards SAPIEN-XT valve was reported which required surgical replacement with a mechanical valve.