title: TAVI for pure aortic valve insufficiency in a patient with a left ventricular assist device.
abstract: We report transcatheter aortic valve implantation (TAVI) for pure aortic valve insufficiency in a patient with an otherwise normal aortic valve and a long-term left ventricular assist device (LVAD). An oversized 29-mm Edwards SAPIEN valve (Edwards Lifesciences, Irvine, CA) was implanted in the 21-mm native aortic valve annulus. Despite the complete absence of aortic calcifications, the prosthesis remained stably anchored inside the annulus. The reported experience demonstrates that TAVI is feasible even in patients with pure aortic valve regurgitation and can be a reasonable option in patients with aortic regurgitation after LVAD implantation.
authors.affiliation: Deutsches Herzzentrum Berlin, Berlin, Germany.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: D'Ancona
authors.forename: Miralem
authors.initials: M
authors.lastname: Pasic
authors.forename: Semih
authors.initials: S
authors.lastname: Buz
authors.forename: Thorsten
authors.initials: T
authors.lastname: Drews
authors.forename: Stephan
authors.initials: S
authors.lastname: Dreysse
authors.forename: Roland
authors.initials: R
authors.lastname: Hetzer
authors.forename: Axel
authors.initials: A
authors.lastname: Unbehaun
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D006328:Cardiac Catheterization; D009202:Cardiomyopathies / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged