Intracardiac echocardiography unveils large thrombus on a restenotic TAVR prosthesis more than 6 years after implantation

An 84-year-old female with a history of chronic lymphocytic leukaemia and type 2 diabetes presented more than 6 years after transcatheter aortic valve replacement (TAVR, CoreValve 29 mm) with dyspnoea NYHA III–IV. Transoesophageal echocardiography showed aortic restenosis ( V max 4.1 m/s, mean gradient 37 mmHg) with thickened, rigid leaflets ( Panels A and B and Supplementary …