JACC: Case Reports (Jan 2024)

Transcatheter Aortic Valve Replacement Complicated by Aorto–Right Ventricular Fistula Repaired Via Valve-in-Valve Replacement

  • Omar M. Masarweh, MD,
  • Anusha Ghaffar, MD,
  • Stephanie Lopez-Orizondo, MD,
  • Olga Karasik, MD,
  • Jooby John, MD

Journal volume & issue
Vol. 29, no. 2
p. 102165

Abstract

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A 59-year-old man with a history of severe aortic stenosis with transcatheter aortic valve replacement (TAVR) presented with worsening heart failure. Echocardiography showed a fistula between the aorta and the right ventricle with mild to moderate paravalvular regurgitation. He underwent a valve-in-valve TAVR with symptomatic improvement and decreased flow through the fistula.

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