2025 Volume 54 Issue 3 Pages 114-117
An 84-year-old man underwent transcatheter aortic valve replacement (TAVR) for severe aortic stenosis with heart failure. Paravalvular leak (PVL) of the aortic valve was observed immediately after the operation, and the heart failure was difficult to manage; closure with a vascular plug was attempted, but PVL did not improve. Therefore, four months after TAVR, the decision was made to perform surgical aortic valve replacement (SAVR). The operation was expected to take a long time due to the concomitant mitral valve replacement, ascending aortic valve replacement and pulmonary vein isolation, in addition to SAVR with removal of the TAVR valve, so a rapid deployment valve was used for aortic valve replacement. The patient's postoperative course was good, with no complications. Postoperative echocardiography showed no problems with the replaced aortic or mitral valves. Twenty-six days after surgery, the patient was discharged home, although it took time for rehabilitation due to the long hospital stay after TAVR. More than two years have passed since the surgery, and the patient is currently an outpatient with no symptoms of heart failure. The present report describes the use of a rapid deployment valve for surgical AVR after TAVR with good results.
