Volume 97, Issue 5 pp. 950-954
CASE REPORT

Transcatheter aortic valve implantation for severe pure aortic regurgitation due to active aortitis

Rossella Ruggiero MD

Rossella Ruggiero MD

University of Ferrara, Ferrara, Italy

Interventional Cardiology Unit, GVM Care and Research Maria Cecilia Hospital, Cotignola, Italy

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Francesco Ponticelli MD

Francesco Ponticelli MD

Interventional Cardiology Unit, GVM Care and Research Maria Cecilia Hospital, Cotignola, Italy

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Francesco Giannini MD

Corresponding Author

Francesco Giannini MD

Interventional Cardiology Unit, GVM Care and Research Maria Cecilia Hospital, Cotignola, Italy

Correspondence

Francesco Giannini, MD, Interventional Cardiology Unit, GVM Care and Research Maria Cecilia Hospital, Via Madonna di Genova, 1, 48033 Cotignola RA, Italy.

Email: [email protected]

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Marcello Galvani MD

Marcello Galvani MD

Unità Operativa di Cardiologia, Ospedale GB Morgagni, Forlì, Italy

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First published: 31 August 2020

Abstract

Aortitis is an uncommon systemic inflammatory disease affecting the aorta and its main branches. Severe aortic regurgitation (AR) represents a fearsome complication of aortitis and is associated with an increased mortality rate. Surgical aortic valve replacement represents the only treatment choice for these patients. However, it is associated with a higher risk of medium to long-term complications such as prosthetic valve detachment. This is the first reported case where severe AR secondary to aortitis was managed with transcatheter aortic valve implantation (TAVI). TAVI was safe and effective in this clinical setting and may be considered a viable alternative to high-risk surgery in these complex patients.

CONFLICT OF INTEREST

The authors report no conflicts of interest.

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