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Updated: May 10, 2026

Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
Late severe left ventricular dysfunction after successful transapical aortic valve implantation: a cause for concern
Giuseppe Tarantini1, Valeria Gasparetto, Diego Cecchin
1Cardiology Division, Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Padua, Italy. giuseppe.tarantini.1@gmail.com
Abstract:
An 88-year-old man with severe aortic stenosis and normal left ventricular ejection fraction underwent transcatheter aortic valve implantation via a transapical approach, without periprocedural complications. Some 16 months later the patient was readmitted because of worsening dyspnea, when left ventricular dysfunction due to apical akinesia was identified. A gated, rest-only myocardial single-photon emission computed tomography (G-SPECT) demonstrated apical hypoperfusion that persisted after attenuation correction. Necrosis involved the apical and mid-inferior wall, the apical lateral wall, and the apical segment.
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