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A 75-year-old male with a left ventricular ejection-fraction of 20% and a Euroscore-II of 11.2% was referred for a TAVI due to severe aortic valve regurgitation and moderate–severe mitral regurgitation (AR) with NYHA class IV symptoms. The leaflets were free of calcification and with an annulus diameter of 27.7 mm, he was scheduled for the implantation of a 29 mm Direct Flow Medical valve (Direct Flow Medical Inc., Santa Rosa, CA, USA). The specific design of the prosthesis makes it an ideal choice for treatment of pure AR and …

Antegrade valve embolization after transcatheter treatment for pure aortic regurgitation