TAVI in Patient With Severe Aortic Regurgitation and Previous Mechanical Mitral and Tricuspid Valve Prostheses.

Amit Gupta, Ammar Albayati, Brooke Keeble, Allan Davies, Rohan Bhagwandeen, Andrew J Boyle

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Transcatheter Aortic Valve Implantation in Complex Anatomy: An Anatomy-Driven Framework for Bicuspid Stenosis, Pure Aortic Regurgitation, and the Small Annulus in the Era of Lifetime Management.Journal of clinical medicine · 2026
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Amit GuptaDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia.

Ammar AlbayatiDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia. Electronic address: drammar91@yahoo.com.

Brooke KeebleDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia.

Allan DaviesDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.

Rohan BhagwandeenDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia.

Andrew J BoyleDepartment of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia; School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia; Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscatheter aortic valve implantation is technically challenging in patients with predominant aortic regurgitation and preexisting mitral prosthetic heart valve. CASE SUMMARY: To the best of our knowledge, this is the first reported case in which transcatheter aortic valve implantation was successfully performed for predominant severe aortic regurgitation with a history of 3 prior sternotomies: successively for mitral valve replacement with a Starr-Edwards valve, tricuspid valve repair, and subsequently tricuspid valve replacement. DISCUSSION: This patient had large aortic annulus dimensions. Noticing predominant aortic regurgitation and mild valvular calcium, we were aiming at 15% to 20% oversizing of the transcatheter valve, which was achievable by overfilling the largest balloon-expandable valve. Having an incomplete understanding of potential aortomitral interaction based on computed tomography and echocardiography, we inflated a balloon at the aortic valve, which revealed significant interaction, leading us to use a self-expanding valve that had limited oversizing. TAKE-HOME MESSAGE: Identifying the aortomitral interaction in such cases can potentially avoid transcatheter aortic valve embolization.

Indexed as

aortic regurgitationmitral and tricuspid mechanical valvesStarr-Edwards ball-and-cage valvetranscatheter aortic valve implantation

Identifiers

PMID41379047

DOI10.1016/j.jaccas.2025.106291

PMCPMC12881270

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