Recurrent symptoms after transfemoral aortic valve repair (TAVI)

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).