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Edwards Sapien 3 transcatheter aortic valve implantation for management of severe aortic regurgitation in a teenage patient with corrected atrioventricular septal defect and progressive left ventricular dysfunction
Author(s) -
Lehner Anja,
Herrmann Florian E.,
Mehilli Julinda,
Haas Nikolaus A.
Publication year - 2019
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.27975
Subject(s) - medicine , regurgitation (circulation) , cardiology , atrioventricular valve , atrioventricular septal defect , aortic valve , heart failure , decompensation , surgery , heart disease , aortic valve replacement , stenosis , ventricle
Transcatheter aortic valve replacement is mostly performed in elderly patients with severely calcified aortic valves. There are few reports about its use for pure aortic regurgitation, few reports about its use in adolescent patients and to the best of our knowledge no report about the use of an Edwards Sapien valve in the aortic position in an underage patient after surgically corrected congenital heart disease (CHD). Decompensation of a complex CHD can be difficult to manage and may require unusual solutions. We report a case of a teenage patient presenting with progressive aortic regurgitation and deterioration of left ventricular function after multiple surgical procedures for an atrioventricular septal defect (AVSD). As “bridge‐to‐transplant,” we performed a transcatheter aortic valve implantation using a balloon‐expandable Sapien 3 prosthesis. At 6 month follow‐up, the patient remained clinically stable with no rehospitalization due to heart failure.