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Catheter Cardiovasc Interv · Jul 2020
Case ReportsTranscatheter aortic valve implantation 10 years after valve-in-valve transcatheter aortic valve implantation for failing aortic valve homograft root replacement.
- Alison Duncan, Saeed Mirsadree, Cesare Quarto, and Simon Davies.
- Heart Division, Royal Brompton Hospital, London, United Kingdom.
- Catheter Cardiovasc Interv. 2020 Jul 1; 96 (1): 228-235.
AbstractValve-in-valve transcatheter aortic valve implantation (ViV-TAVI) is an established therapy for a degenerated surgical bioprosthesis. TAVI-in-TAVI following ViV-TAVI has not been previously performed. We report a high-risk patient presenting with severe left ventricular failure secondary to undiagnosed critical aortic stenosis due to degeneration of the implanted transcatheter heart valve more than a decade after initial ViV-TAVI for a failing stentless aortic valve homograft. Successful TAVI-in-TAVI reversed the clinical and echocardiographic changes of decompensated heart failure with no evidence of coronary obstruction.© 2019 Wiley Periodicals, Inc.
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