EVOLUT R TRANSCATHETER AORTIC VALVE
Report
- Report Number
- 2025587-2026-00062
- Event Type
- Malfunction
- Date Received
- January 16, 2026
- Date of Event
- November 3, 2025
- Report Date
- January 16, 2026
- Manufacturer
- MEDTRONIC HEART VALVES DIVISION
- Product Code
- NPT
- PMA / PMN Number
- P130021
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CITATION: BOLJEVIC ET AL. SIMULTANEOUS TRANSCATHETER AORTIC VALVE REPLACEMENT AND ENDOVASCULAR AORTIC ANEURYSM REPAIR-THE FIRST CASE IN SERBIA. DIAGNOSTICS (BASEL). 2025 NOV 3;15(21):2785. DOI: 10.3390/DIAGNOSTICS15212785. EARLIEST DATE OF PUBLICATION USED FOR DATE OF EVENT. NO UNIQUE DEVICE IDENTIFIER (SERIAL/LOT) NUMBERS WERE PROVIDED; WITHOUT THIS INFORMATION IT COULD NOT BE DETERMINED WHETHER THESE OBSERVATIONS HAVE BEEN PREVIOUSLY REPORTED. WITHOUT RETURN OF THE PRODUCT NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATIONS. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
LITERATURE WAS REVIEWED REGARDING A 75-YEAR-OLD MALE PATIENT WITH SEVERE AORTIC STENOSIS (AS) AND AN ABDOMINAL AORTIC ANEURYSM. SUBSEQUENTLY, THE PATIENT UNDERWENT A DUAL PROCEDURE WHICH INCLUDED SUCCESSFUL IMPLANT OF A MEDTRONIC 34-MM EVOLUT R BIOPROSTHETIC VALVE IN THE AORTIC POSITION FOLLOWED BY AN ENDOVASCULAR ANEURYSM REPAIR WITH SATISFACTORY STENT GRAFT PLACEMENT. THE PATIENT¿S POSTOPERATIVE COURSE WAS UNEVENTFUL, AND HE WAS DISCHARGED ON THE NINTH DAY. AT THE SCHEDULED OUTPATIENT FOLLOW-UP, THE PATIENT DEMONSTRATED CLINICAL IMPROVEMENT WITH AN ECHOCARDIOGRAPHIC ASSESSMENT THAT REVEALED A PEAK TRANSVALVULAR PRESSURE GRADIENT OF 22 MMHG WITH TRACE AORTIC REGURGITATION. AT THE SIX-MONTH FOLLOW-UP, A COMPUTED TOMOGRAPHY (CT) IDENTIFIED A TYPE II ENDOLEAK ORIGINATING FROM THE LUMBAR ARTERY IN THE ABDOMEN. THE VASCULAR TEAM RECOMMENDED A CONSERVATIVE MANAGEMENT APPROACH WHERE THE ENDOLEAK WAS TREATED CONSERVATIVELY WITH REGULAR CLINICAL FOLLOW-UPS TO MONITOR FOR CHANGES OR PROGRESSION. NO FURTHER INFORMATION WAS PROVIDED PERTAINING TO MEDTRONIC PRODUCTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 158701 | EVOLUT R TRANSCATHETER AORTIC VALVE | AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV | NPT | MEDTRONIC HEART VALVES DIVISION | EVOLUTR-34 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Male | Hospitalization |