Percutaneous Transcatheter Closure of the Aortic Valve to Treat Cardiogenic Shock in a Left Ventricular Assist Device Patient With Severe Aortic Insufficiency

De Novo Aortic Regurgitation After Continuous-Flow Left Ventricular Assist Device Implantation

“…No validated treatment algorithms for de novo AR in cf-LVADs are available for comment, and current practices are based on small case series lacking rigorous study designs [23][24][25]. Treatment options include bioprosthetic valve replacement, patch closure, or valve repairs [23].…”

“…Treatment options include bioprosthetic valve replacement, patch closure, or valve repairs [23]. Transcatheter procedures have been shown to be effective for patients in whom the risk of reoperation is prohibitive [23][24][25].…”

Emergency transcatheter aortic valve implantation in patients with severe aortic regurgitation and a left ventricle assist device: A case report and systematic review

“…Another limitation for the use of an Amplatzer device is the risk of embolization of the device especially in non degenerative native valves. 18,19 Here, we report a case of percutaneous implantation of an aortic valve. The conceptual advantage is the presence of a functional valve in the setting of LVAD failure.…”

“…However, for both options there are only anecdotal reports available. [18][19][20] The major limitations of an Amplatzer device is the limited length of the delivery sheath (80 cm), which, depending on the height of the patient, complicates the femoral approach. A subclavian approach might be the only feasible route for these patients.…”

Mini Right Thoracotomy as an Approach to Aortic Valve Closure in an Assist Device Patient

“…One option is a "sandwich plug," a preconstructed plug of felt, suture, and vascular clips. Russo and colleagues 6 were successful, although this patient already had a partially closed valve, making it difficult to assess the durability of this approach. 5 Current literature discusses these approaches through a sternotomy.…”