Severe aortic regurgitation (AR), when intervention is required, is managed by surgical
aortic valve replacement (SAVR). Recently, transcatheter aortic valve replacement
(TAVR) for severe aortic stenosis (AS) has shown non-inferiority to SAVR and superiority
to medical management. TAVR could be a valid “off label” option to treat severe AR
for patients unsuitable for SAVR due to their high surgical risk. Among aortic pathologies
leading to severe AR, those involving the aortic root are considered as high risk
procedures and thus prohibit TAVR. For these reasons TAVR is not an option for severe
AR due to concomitant aortic root dilatation and degeneration. We report a successful
case of TAVR for severe AR due to dilatation of degenerated tract of aortic root.
Keywords
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References
- Transcatheter versus surgical aortic-valve replacement in high-risk patients.N Engl J Med. 2011; 364: 2187-2198
- Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery.N Engl J Med. 2010; 363: 1597-1607
- Expanding role for transcatheter aortic valve implantation of a Medtronic Core Valve for severe aortic regurgitation.Heart Lung Circ. 2012; 25 ([Epub ahead of print])
Article info
Publication history
Published online: November 19, 2012
Accepted:
October 15,
2012
Received in revised form:
October 12,
2012
Received:
September 7,
2012
Identification
Copyright
© 2012 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
