A 75-year-old man comes to the physician for the evaluation of progressive shortness of breath and fatigue over the past month. He reports that he cannot climb more than one flight of stairs without experiencing shortness of breath and dizziness. He is diagnosed with severe calcific aortic stenosis and undergoes transcatheter aortic valve implantation through femoral access. The following hemodynamic changes are observed: Which of the following complications should be suspected in this patient?

Question

A 75-year-old man comes to the physician for the evaluation of progressive shortness of breath and fatigue over the past month. He reports that he cannot climb more than one flight of stairs without experiencing shortness of breath and dizziness. He is diagnosed with severe calcific aortic stenosis and undergoes transcatheter aortic valve implantation through femoral access. The following hemodynamic changes are observed:  Which of the following complications should be suspected in this patient?

Quizplus · Accepted Answer

Eductional Objective: Transcatheter aortic valve implantation (TAVI) allows for minimally invasive management of severe aortic stenosis in elderly patients who are unable to tolerate open surgical valve replacement.  Paravalvular aortic regurgitation is a common complication of TAVI, resulting from improper sealing of the prosthetic valve to the native aortic valve annulus

A 75-Year-Old Man Comes to the Physician for the Evaluation