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Updated: Feb 22, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Progressive breathlessness following transcatheter aortic valve replacement
Jack P M Andrews1, Nicholas L Cruden2, Alastair J Moss1
1Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, Scotland, UK.
A patient experienced rapid shortness of breath after transcatheter aortic valve replacement. Investigations revealed leaflet thrombosis as the likely cause, necessitating prompt diagnosis and management to prevent severe outcomes.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Transcatheter aortic valve implantation (TAVI) is a common procedure for severe aortic stenosis.
- Complications after TAVI can impact patient outcomes and quality of life.
Observation:
- An 84-year-old male presented with acute exertional dyspnea 5 months post-TAVI.
- Clinical findings included elevated jugular venous pressure and a systolic murmur.
- ECG showed left ventricular strain pattern.
Findings:
- Echocardiography and cardiac CT were performed to evaluate the transcatheter aortic valve.
- The presentation suggests a complication related to the prosthetic valve.
Implications:
- Prompt diagnosis of prosthetic valve complications is crucial for timely intervention.
- Understanding potential TAVI complications aids in optimizing patient management and follow-up care.
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