DOI: 10.2478/rjc-2024-0031 ISSN: 2734-6382

A frightening complication after TAVI with Portico Valve: A case report of a “frozen” leaflet stuck in the opened position.

Antonio Totaro, Antonio Tota, Antonio Pierro, Vincenzo Ienco, Chiara Galluccio, Nicola Testa, Gianluca Testa, Cosimo Sacra

Abstract

Background

A stuck leaflet is a rare complication of transcatheter aortic valve implantation (TAVI). It occurs when one of the leaflets in the implanted valve doesn’t open and close properly. This complication can lead to serious health problems, even death.

Case presentation

We describe a rare case of a stuck “open” leaflet after TAVI. To our knowledge, this is the first reported case in which this frightening complication has been resolved by ballooning procedure, with no need for another valve implantation.

Conclusions

This case highlights the potential role of ballooning procedure as a treatment for stuck leaflets after TAVI.

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