Repeated transcatheter aortic valve implantation for the treatment of a degenerated transcatheter aortic valve implantation valve (valve-in-valve technique): a case report.

European Heart Journal. Case Reports
Vassileios VoudrisEftychia Sbarouni

Abstract

Valve-in-valve transcatheter aortic valve implantation (TAVI) has emerged as a competent alternative for the treatment of degenerated bioprosthetic valves after surgical aortic valve replacement, or during TAVI procedure as a bailout option. Herein, we report a rare case of a self-expandable Medtronic Evolut R valve into a failing Medtronic CoreValve, with the use of modern pre-TAVI imaging screening, suggesting the proper procedural design steps for so complicated implantations. A frail 78-year-old woman with a degenerated Medtronic Core Valve 26 mm bioprosthesis, implanted in 2011 due to severe aortic stenosis, was referred to our hospital due to worsening dyspnoea New York Heart Association III. The screening echocardiography documented severe aortic stenosis, while the classical risk scores were in favour of repeated TAVI (EuroSCORE II 5.67%). Computed tomography measurements and three-dimensional (3D) printing model were of great help for the proper valve selection (Medtronic Evolut R 26 mm), while the use of cerebral protection device (Claret Sentinel) was considered as a necessary part of the procedure. The simultaneous use of fluoroscopy and transoesophageal echocardiogram led to optimal haemodynamic result, confirmed b...Continue Reading

References

Aug 15, 2017·Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē·Christos EftychiouMauro Cassese
Nov 8, 2017·Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē·George LatsiosDimitrios Tousoulis
Jul 5, 2019·Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē·Ioannis Kanakakis
Aug 20, 2019·JACC. Cardiovascular Imaging·Nicola BuzzattiAzeem Latib
Dec 13, 2019·Expert Review of Cardiovascular Therapy·Roberto ValvoMarco Barbanti
Dec 19, 2019·Expert Review of Cardiovascular Therapy·Anna Sonia Petronio, Cristina Giannini

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Software Mentioned

Evolut R
degenerated
CoreValve

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