case_images: PMC10248160_01
case_images: Case 1: transesophageal echocardiography three-chamber view with color-flow Doppler (A) and aortic valve-centered short-axis view with color-flow Doppler (B) showing an eccentric, severe intraprosthetic regurgitation. (C) Explanted ACURATE Neo prosthesis with leaflet disruption with its adjacent strut in the noncoronary position (yellow asterisk).
case_images: fcvm-10-1135496-g001.jpg
case_images: PMC10248160_01_fcvm-10-1135496-g001.jpg
case_images: F1
case_images: TAVR prosthesis with severe intraprosthetic, eccentric AR (see Figures 1A,B). Transvalvular aortic gradients were slightly elevated (mean pressure gradient 18 mmHg). Intraoperative inspection of the prosthesis revealed a leaflet disruption with its adjacent strut in the noncoronary position (see Figure 1C).
case_images: PMC10248160_02
case_images: Case 2: transesophageal echocardiography three-chamber view with color-flow Doppler (A) and aortic valve-centered short-axis view with color-flow Doppler (B) showing severe intraprosthetic regurgitation and partial cusp prolapse (yellow arrow) on the right coronary side, respectively. (C) Explanted ACURATE Neo prosthesis with a central tear in the leaflet in the right-coronary position (yellow asterisk).
case_images: fcvm-10-1135496-g002.jpg
case_images: PMC10248160_02_fcvm-10-1135496-g002.jpg
case_images: F2
case_images: TEE after admission at our center demonstrated a partial cusp prolapse on the right-coronary position associated with severe, eccentric AR (see Figures 2A,B). Intraoperative inspection of the prosthesis revealed a central tear in the leaflet in the right-coronary position (see Figure 2C).