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Valve Dragging Technique in Valve Migration After Self-Expanding Transcatheter Aortic Valve Replacement

Yinghao Sun¹, Jie Li¹, Yuan Liu¹

¹Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, China.

JACC. Case Reports

|April 19, 2025

Abstract

Background:

Transcatheter aortic valve replacement (TAVR) may be considered for patients with symptomatic severe aortic regurgitation at high surgical risk.

Case Summary:

This article presents the case of a 74-year-old man who presented with dyspnea and was diagnosed with severe aortic regurgitation. TAVR with a self-expanding valve was performed but complicated with valve migration toward the left ventricle, resulting in severe paravalvular regurgitation. Ultimately, the valve dragging technique was used to reposition the initial valve and a second valve was implanted, achieving satisfactory final outcomes.

Discussion:

This technique provides a novel strategy for valve migration after TAVR, avoiding surgical reintervention.

Take-Home Message:

The valve dragging technique is a remedial measure for severe paravalvular regurgitation secondary to valve migration after self-expanding TAVR by dragging with a second valve.

Keywords:

aortic regurgitation self-expanding transcatheter aortic valve replacement valve dragging technique valve migration

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