Perceval sutureless valve migration treated by valve‐in‐valve with a CoreValve Evolut Pro

Abstract

In the last years, the use of sutureless devices in frail patients with severe aortic stenosis has increased thanks to their “easier and faster” technique of implantation in comparison to conventional surgery. Results from metanalysis show comparable outcomes in comparison to transcatheter aortic valve replacement (TAVR) in terms of mortality, stroke incidence, and rate of pace‐maker implantation. The incidence of para‐valvular leak (PVL) is even lower for sutureless devices than for TAVR. The few cases described are generally due to incomplete decalcification or incorrect valve sizing and consequent stent distortion. To our knowledge this is the first case describing PVL with massive aortic regurgitation due to early partial embolization of a Perceval valve and its successfully treatment with valve‐in‐valve by using a self‐expanding TAVR device.

A series of four transcatheter aortic valve replacement in failed Perceval valves

“…In addition, there is a report of 30 cases by Landes et al (22), as part of the VIVID International Registry (22), which may represent some of the single case reports, published in the literature overview given in Table 2. In the majority of cases, TAVR was performed in sutureless Perceval valves (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)20,21). There are only two case reports in which a TAVR procedure was described in a failed Intuity valve (5,19).…”

“…To date, there are only case series that report on TAVR procedures in failed SV and RDV. To the best of our knowledge, a total number of 23 cases have been described so far (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21). This includes a previous publication by the authors (16).…”

“…In thirteen cases, a balloon-expandable valve (Sapien, Sapien XT, Sapien 3; Edwards Lifescience, Irvine, CA, USA) was implanted (5,6,8,(9)(10)(11)13,(16)(17)(18)(19)21). In the remaining five cases, a self-expanding valve (Corevalve, Evolut R, Evolut Pro, Medtronic, Minneapolis, MN, USA) was used (7,9,12,14,15,20). Both valve types have specific characteristics related to valve design and implantation technique.…”