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Updated: Mar 1, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Procedural Techniques for the Management of Severe Transvalvular and Paravalvular Aortic Regurgitation During TAVR
Abdulla A Damluji1,2, Carlos E Alfonso3, Mauricio G Cohen3
1Beverly and Jerome Fine Cardiac Valve Center, Sinai Hospital of Baltimore, LifeBridge Health Cardiovascular Institute, Baltimore, USA.
Abstract:
Aortic regurgitation (AR) after transcatheter aortic valve replacement (TAVR) is associated with an increased risk of mortality. In severe cases, abrupt hemodynamic changes may occur with a sudden increase in left ventricular end-diastolic pressure that results in frank pulmonary edema, hypoxia, and cardiogenic shock. Here, the case is reported of a patient who developed severe AR immediately after valve deployment that led to severe hemodynamic compromise. The procedural techniques necessary for the immediate management of severe transvalvular and paravalvular AR are described.
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