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A frightening complication after TAVI with Portico Valve: A case report of a “frozen” leaflet stuck in the opened position. Cover

A frightening complication after TAVI with Portico Valve: A case report of a “frozen” leaflet stuck in the opened position.

Romanian Journal of Cardiology
Volume 34 (2024): Issue 4 (December 2024)
By: Antonio Totaro,  Antonio Tota,  Antonio Pierro,  Vincenzo Ienco,  Chiara Galluccio,  Nicola Testa,  Gianluca Testa and  Cosimo Sacra  
Open Access
|Dec 2024

Figures & Tables

Figure 1

Hockey puck view that enhances aortic valve calcifications.
Hockey puck view that enhances aortic valve calcifications.

Figure 2

Distribution of aortic valve calcification with volume quantification (3mensio evaluation on contrast-enhanced CT). The total calcium volume was 455.9 mm3 using a threshold of 850 HU, with prevalence of calcium on left coronary cusp (201.9 mm3) and noncoronary cusp (172.6 mm3).
Distribution of aortic valve calcification with volume quantification (3mensio evaluation on contrast-enhanced CT). The total calcium volume was 455.9 mm3 using a threshold of 850 HU, with prevalence of calcium on left coronary cusp (201.9 mm3) and noncoronary cusp (172.6 mm3).

Figure 3

Angiographic view after implantation of Portico aortic valve bioprosthesis (black arrow). A: Systolic frame. B: Diastolic frame showing severe (grade 4) central aortic regurgitation (white arrow).
Angiographic view after implantation of Portico aortic valve bioprosthesis (black arrow). A: Systolic frame. B: Diastolic frame showing severe (grade 4) central aortic regurgitation (white arrow).

Figure 4

Transesophageal echocardiography LVOT view. A: 2D echo showing stuck leaflet (leaflet not visible in picture, white arrow) in anterior position. B: 2D color showing severe intraprosthetic regurgitation.
Transesophageal echocardiography LVOT view. A: 2D echo showing stuck leaflet (leaflet not visible in picture, white arrow) in anterior position. B: 2D color showing severe intraprosthetic regurgitation.
DOI: https://doi.org/10.2478/rjc-2024-0031 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 201 - 204
Published on: Dec 31, 2024
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
Frozen leaflet,
TAVI,
valve in valve,
aortic stenosis
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Surgery,
Cardiac surgery,
Pediatrics and juvenile medicine,
Paediatric cardiology

© 2024 Antonio Totaro, Antonio Tota, Antonio Pierro, Vincenzo Ienco, Chiara Galluccio, Nicola Testa, Gianluca Testa, Cosimo Sacra, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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