Case and Plan
77-year-old male with 29 mm Navitor TAVR in Dec 2023 for severe aortic stenosis presents with exertional fatigue and breathlessness. His past medical history includes HTN, HLD, Afib, BPH, depression, anxiety, s/p kidney transplant (2015) and carcinoid tumor. His TTE/TEE showed EF 55%, moderate to severe paravalvular leak (multiple jets) with aortic valve mean gradient 7 mmHg, mild-mod MR, mild TR. The heart team found the patient at extreme risk for TAVR explant and surgical AVR and recommended TF Redo TAVR using 26mm Sapien-3 Ultra Resilia in a 29 mm Navitor valve.
