Temporary immobile leaflet following transcatheter aortic valve replacement of a SAPIEN-XT valve

  • Toshijiro Aoki
  • Akihito TanakaEmail author
  • Yoshiyuki Tokuda
  • Hideki Oshima
  • Susumu Suzuki
  • Hideki Ishii
Images in Cardiovascular Intervention


Compliance with ethical standards

Conflict of interest

Hideki Ishii received lecture fees from Astellas Pharma Inc., Astrazeneca Inc., Daiichi-Sankyo Pharma Inc., and MSD K. K. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Ethical standard

The human subject has given informed consent and the authors have conformed to institutional guidelines.

Supplementary material (2.4 mb)
Supplementary material 1. Aortography performed after implantation of a 26-mm SAPIEN-XT™ valve showing severe aortic regurgitation (MOV 2474 kb) (712 kb)
Supplementary material 2. Transesophageal echocardiography (TEE) showing a mobile leaflet and another immobile leaflet, and intravalvular aortic regurgitation jet through the side of the immobile leaflet during the diastolic phase (MOV 711 kb) (2.6 mb)
Supplementary material 3. Aortography performed after defibrillation showing only mild aortic regurgitation (MOV 2659 kb) (297 kb)
Supplementary material 4. Transesophageal echocardiography after defibrillation showing no intravalvular aortic regurgitation (MOV 297 kb)


  1. 1.
    Coutre EL, Labbe BM, Delarochelliere R, Rodes-Cabau J, Paradis JM. Stuck leaflet after transcatheter aortic valve replacement with a SAPIEN-3 valve: new valve, old complication. J Am Coll Cardiol Interv. 2016;9:e133–5.CrossRefGoogle Scholar
  2. 2.
    Singh GD, Southard JA, Smith TW, Boyd WD, Wong GB, Perry PA, Low RI. SAPIEN S3 leaflet malfunction with severe intravalvular aortic insufficiency immediately post-deployment. J Am Coll Cardiol Interv. 2017;10:e31–2.CrossRefGoogle Scholar

Copyright information

© Japanese Association of Cardiovascular Intervention and Therapeutics 2018

Authors and Affiliations

  1. 1.The Department of CardiologyNagoya University Graduate School of MedicineNagoyaJapan
  2. 2.The Department of Cardiac SurgeryNagoya University Graduate School of MedicineNagoyaJapan

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