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Recurrent symptoms after transfemoral aortic valve repair (TAVI)

    Author: Christian Loewe, Vienna, Austria
    Body Region: Cardiovascular

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Further patient management / treatment
    5. References

    1. Patient Presentation

    • A 60-year-old man was admitted because of symptomatic aortic stenosis.
    • He suffered from moderate-severe left heart failure (NYHA II-III).
    • The patient had a history of myocardial infarction and reduced left ventricular function (EF=46%).
    • Owing to the clinical symptoms, the indication for aortic valve repair was established and, based on clinical history, the patient was primarily evaluated for transfemoral aortic valve implantation (TAVI).
    • As a routine part of this evaluation, CT angiography of the entire aorta and iliac arteries was performed (Figure 1).
    • After accurate planning, TAVI was performed (Figure 2).
    • 3 months after TAVI implantation, the patient still showed mild symptoms compatible with aortic stenosis.
    • A follow-up CT scan was performed (Figure 3).
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