ArticleJACC. Case reports2025
Redo Transcatheter Aortic Valve Replacement for Migration of Myval Transcatheter Heart Valve in Pure Aortic Regurgitation.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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10 authors.
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Abstract
backgroundA 76-year-old patient with severe symptomatic aortic regurgitation, deemed inoperable, was referred for transcatheter aortic valve replacement. CASE SUMMARY: Preprocedural computed tomography revealed a large, noncalcified native aortic annulus (31.7 mm), making commercially available transcatheter heart valves (THVs) unsuitable. A 32-mm (+2 mL) Myval (Meril) THV was implanted with satisfactory immediate results. However, at day 7, delayed and asymptomatic migration into the left ventricular outflow tract with severe paravalvular leak occurred. Given surgical ineligibility, a 29-mm (+6 cc THV balloon overfilling) Sapien 3 (Edwards Lifesciences) THV was successfully deployed as a redo TAVR strategy, anchoring the migrated index THV. One-month follow-up showed excellent outcomes. DISCUSSION: Delayed THV migration in patients with native aortic regurgitation is a challenge. This case highlights redo TAVR as a viable rescue strategy, using multimodal imaging and precise procedural techniques. TAKE-HOME MESSAGE: Redo TAVR is a safe and effective approach to address late THV migration into the left ventricular outflow tract in selected patients.
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