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An Easy Way to Solve the Stuck Leaflet Causing Aortic Regurgitation Following Transcatheter Aortic Valve Replacement
Neelima Katukuri1, Brian R Gebhardt2, Matthew Lawlor1
1Division of Cardiovascular Medicine, University of Massachusetts, Worcester, Massachusetts, USA.
None:
•Intravalvular aortic regurgitation severity may be underestimated by transthoracic echocardiogram due to rapid pressure equalization.•Transthoracic echocardiogram may not differentiate PVL from eccentric central aortic regurgitation; transesophageal echocardiogram may be required.•Low diastolic pressures may be falsely attributed to vasoplegia or PVL.•Mechanical resolution with catheter techniques may avoid valve-in-valve procedures.•Rare cases of leaflet immobility are being reported even with newer generation SAPIEN 3 Ultra RESILIA valves.
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