Transcatheter valve-in-valve implantation due to severe aortic regurgitation in a degenerated aortic homograft

J Invasive Cardiol. 2009 Oct;21(10):E197-200.

Abstract

Transcatheter aortic valve implantation (TAVI) in severe aortic stenosis has proven to be a feasible and effective treatment modality for inoperable patients. Until now, neither aortic regurgitation nor degenerated bioprostheses has been an indication for TAVI. However, this article reports a successful valve-in-valve implantation of a CoreValve aortic valve prosthesis through the right subclavian artery in a case of severe aortic regurgitation within a degenerated aortic homograft. The case exemplifies the possibilities of expanding the indications for TAVI, as well as other vascular access options than the femoral arteries.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve Insufficiency / etiology
  • Aortic Valve Insufficiency / therapy*
  • Aortic Valve*
  • Calcinosis / complications
  • Cardiac Catheterization / instrumentation*
  • Cardiac Catheterization / methods*
  • Heart Valve Prosthesis*
  • Humans
  • Male
  • Transplants / adverse effects*
  • Treatment Outcome