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Updated: Apr 1, 2026

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Published on: August 8, 2025
Severely Thrombosed Transcatheter Aortic Valve 9 Months After Implantation
Thomas T Poels1, Leo Veenstra2, Vincent van Ommen2
1Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Insights
Bioprosthetic aortic valve thrombosis is a rare but deadly complication following transcatheter aortic valve implantation. This case highlights a patient with a fully thrombosed valve 9 months post-procedure, emphasizing diagnosis and management strategies.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Devices
Background:
- Transcatheter aortic valve implantation (TAVI) is a common procedure for aortic stenosis.
- Bioprosthetic valve thrombosis (BVT) is a recognized, albeit infrequent, complication.
- High mortality associated with untreated BVT necessitates prompt diagnosis and intervention.
Observation:
- A case of complete thrombosis of a bioprosthetic aortic valve is presented.
- The thrombosis occurred 9 months after the transcatheter aortic valve implantation procedure.
- The patient presented with symptoms indicative of severe prosthetic valve dysfunction.
Findings:
- Complete thrombosis of the transcatheter aortic valve prosthesis was confirmed.
- Review of existing literature on diagnosis and management of BVT was conducted.
- The case underscores the potential for late-onset and complete valve obstruction.
Implications:
- Early recognition and appropriate management of BVT are crucial for patient survival.
- Further research into risk factors and preventative strategies for BVT is warranted.
- This case contributes to the understanding of the clinical presentation and therapeutic options for BVT.
Abstract:
Bioprosthetic aortic valve thrombosis is a rare complication after transcatheter aortic valve implantation; however, one with a high mortality. We describe the case of a patient with a completely thrombosed transcatheter aortic valve prosthesis 9 months after implantation and review the diagnosis and management of this complication.
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