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J Cardiothorac Vasc Anesth. 2019 Jan;33(1):245-248. doi: 10.1053/j.jvca.2018.03.005. Epub 2018 Mar 6.

Late Clinical Presentation of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement.

Author information

1
Department of Anesthesiology and Perioperative, Medicine, Tufts Medical Center, Boston, MA.
2
Department of Medicine, Division of Cardiology, Tufts Medical Center, Boston, MA.
3
Department of Medicine, Division of Cardiology, Tufts Medical Center, Boston, MA; Hoag Heart Valve Center, Hoag Hospital, Newport Beach, CA.
4
Division of Cardiac Surgery, Tufts Medical Center, Boston, MA.
5
Department of Radiology, Tufts Medical Center, Boston, MA.
6
Department of Anesthesiology and Perioperative, Medicine, Tufts Medical Center, Boston, MA. Electronic address: fcobey@tuftsmedicalcenter.org.

Abstract

Prosthesis-patient mismatch (PPM) is relatively common after aortic valve replacement (AVR) and generally is associated with reduced regression of left ventricular (LV) mass. PPM after valve-in-valve transcatheter aortic valve replacement (TAVR) was reported to be 38%. PPM generally is manifested clinically by dyspnea and echocardiographically by high transvalvular gradients. In this E-Challenge, the authors will review a case of a late clinical presentation of PPM 1-year following a valve-in-valve TAVR.

KEYWORDS:

prosthesis-patient mismatch; prosthetic valve stenosis; transcatheter aortic valve replacement (TAVR); valvular thrombosis; ventricular remodeling

Comment in

PMID:
29631945
DOI:
10.1053/j.jvca.2018.03.005
[Indexed for MEDLINE]

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