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

Antonio Totaro

Antonio Totaro

  • Department of Medicine and Health Sciences “V. Tiberio”, University of MoliseCampobasso, Italy
  • Department of Cardiovascular Disease, Responsible Research HospitalCampobasso, Italy
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Totaro, Antonio
, 
Antonio Tota

Antonio Tota

Department of Medicine and Health Sciences “V. Tiberio”, University of MoliseCampobasso, Italy
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Tota, Antonio
, 
Antonio Pierro

Antonio Pierro

Radiology Department, “S. Timoteo” HospitalTermoli, Italy
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Pierro, Antonio
, 
Vincenzo Ienco

Vincenzo Ienco

Department of Cardiovascular Disease, Responsible Research HospitalCampobasso, Italy
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Ienco, Vincenzo
, 
Chiara Galluccio

Chiara Galluccio

Department of Cardiovascular Disease, Responsible Research HospitalCampobasso, Italy
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Galluccio, Chiara
, 
Nicola Testa

Nicola Testa

Cardiovascular Sciences Department, Agostino Gemelli Foundation Polyclinic IRCCSRome, Italy
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Testa, Nicola
, 
Gianluca Testa

Gianluca Testa

Department of Medicine and Health Sciences “V. Tiberio”, University of MoliseCampobasso, Italy
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Testa, Gianluca
 et 
Cosimo Sacra

Cosimo Sacra

Department of Cardiovascular Disease, Responsible Research HospitalCampobasso, Italy
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Sacra, Cosimo
  
31 déc. 2024
A frightening complication after TAVI with Portico Valve: A case report of a “frozen” leaflet stuck in the opened position.'s Cover Image
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Catégorie d'article: Case Presentation
Publié en ligne: 31 déc. 2024
Pages: 201 - 204
DOI: https://doi.org/10.2478/rjc-2024-0031
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© 2024 Antonio Totaro et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

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.
Langue:
Anglais
Périodicité:
4 fois par an
Sujets de la revue:
Médecine, Médecine clinique, Médecine interne, Cardiologie, Chirurgie, Chirurgie cardiaque, Pédiatrie et médecine juvénile, Cardiologie pédiatrique
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