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Transcatheter Valve
Dysfunction refers to the impaired performance or
failure of an implanted transcatheter heart valve, commonly
placed during Transcatheter Aortic Valve Replacement (TAVR) or other
catheter-based valve procedures. This condition can occur due to structural
valve degeneration, thrombosis (blood clot formation), valve malposition,
paravalvular leak, infection, or mechanical failure over time. Dysfunction
may develop early after implantation or years later, depending on the
underlying cause.
Patients with transcatheter
valve dysfunction may experience symptoms such as shortness of breath,
fatigue, chest discomfort, dizziness, swelling in the legs, or worsening
heart failure symptoms. In some cases, dysfunction may remain silent and only
be detected during routine follow-up imaging. Diagnosis typically involves Echocardiography,
CT scans, and sometimes cardiac catheterization to assess valve
function and blood flow.
Treatment depends on
the severity and cause. Mild cases may require monitoring and
medication, including anticoagulants if thrombosis is suspected.
More severe dysfunction may need repeat intervention, such as valve-in-valve replacement
or surgical correction. Regular follow-up after transcatheter valve
implantation is essential for early detection, preserving valve longevity,
and preventing serious cardiovascular complications.