BASILICA Procedure Prior to Valve-in-Valve TAVR in a Supra-Annular TAV Prosthesis

Anna Damlin; Christopher Meduri; Aristomenis Manouras; Dinos Verouhis; Rickard Linder; Andreas Rück; Magnus Settergren

doi:10.1016/j.jaccas.2023.101777

BASILICA Procedure Prior to Valve-in-Valve TAVR in a Supra-Annular TAV Prosthesis

JACC Case Rep. 2023 Feb 16:11:101777. doi: 10.1016/j.jaccas.2023.101777. eCollection 2023 Apr 5.

Authors

Anna Damlin^{1

2

3

4}, Christopher Meduri³, Aristomenis Manouras^{3

4}, Dinos Verouhis^{3

4}, Rickard Linder^{3

4}, Andreas Rück^{3

4}, Magnus Settergren^{3

4}

Affiliations

¹ Department of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden.
² Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
³ Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden.
⁴ Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.

Abstract

An 80-year-old man with a supra-annular transcatheter aortic valve (TAV) prosthesis presented with severe transvalvular aortic regurgitation 18 months after the TAV replacement procedure. The authors report the first ever valve-in-valve procedure using BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) in such a supra-annular TAV prosthesis. Minimal paravalvular leakage, normal coronary artery flow, and easy coronary access were seen postimplantation. (Level of Difficulty: Advanced.).

Keywords: BASILICA procedure; laceration; left main coronary artery; transcatheter aortic valve replacement.

Publication types

Case Reports