An 84-year-old man presented urgently to the cardiology clinic with rapid onset exertional dyspnoea while walking on the flat. Five months previously, he underwent implantation of a balloon-expandable 26 mm transcatheter heart valve (SAPIEN 3, Edwards Lifesciences) for severe aortic stenosis. On clinical examination, the jugular venous pressure was elevated and a mid-late ejection systolic murmur was audible in the aortic region. ECG demonstrated sinus rhythm with a left ventricular (LV) strain pattern. Transthoracic echocardiography and cardiac CT were performed (figure 1).
Question Which aetiology best explains this presentation?
Transcatheter bioprosthetic valve endocarditis
Transcatheter bioprosthetic valve leaflet thrombosis
Structural valve degeneration
- transcatheter valve interventions
- prosthetic heart valves
- cardiac imaging and diagnostics
- cardiac computer tomographic (CT) imaging
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Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.