Late Clinical Presentation of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement.
prosthesis-patient mismatch; prosthetic valve stenosis; transcatheter aortic valve replacement (TAVR); valvular thrombosis; ventricular remodeling
Prosthesis-patient mismatch (PPM) is relatively common after aortic valve replacement (AVR) and generally is associated with reduced regression of left ventricular (LV) mass. PPM after valve-in-valve transcatheter aortic valve replacement (TAVR) was reported to be 38%. PPM generally is manifested clinically by dyspnea and echocardiographically by high transvalvular gradients. In this E-Challenge, the authors will review a case of a late clinical presentation of PPM 1-year following a valve-in-valve TAVR.
Journal of cardiothoracic and vascular anesthesia
Kagemoto, Yoko; Weintraub, Andrew; Pandian, Natesa G; Rastegar, Hassan; Halin, Neil; and Cobey, Frederick C, "Late Clinical Presentation of Prosthesis-Patient Mismatch Following Transcatheter Aortic Valve Replacement." (2018). All Publications. 325.