Transcatheter Valve-in-Valve Implantation in an Aortic Bioprosthesis With Severe Regurgitation and a Challenging Aortic Anatomy

Alfredo Marchese; Giuseppe Tarantini; Antonio Tito; Fabrizio Resta; Domenico Paparella; Giuseppe Speziale

doi:10.1016/j.jaccas.2021.12.025

Transcatheter Valve-in-Valve Implantation in an Aortic Bioprosthesis With Severe Regurgitation and a Challenging Aortic Anatomy

JACC Case Rep. 2022 Mar 16;4(6):336-342. doi: 10.1016/j.jaccas.2021.12.025.

Authors

Alfredo Marchese¹, Giuseppe Tarantini², Antonio Tito¹, Fabrizio Resta¹, Domenico Paparella¹, Giuseppe Speziale¹

Affiliations

¹ Department of Interventional Cardiology, Santa Maria Hospital, GVM Care & Research, Bari, Italy.
² Department of Cardiac, Thoracic, and Vascular Sciences, University of Padua, Padua, Italy.

Abstract

Valve-in-valve transcatheter aortic valve replacement for failing surgical bioprosthetic valves becomes troublesome if a stiff vascular prosthesis replaces the ascending aorta. We report the off-label use of a new transcatheter aortic valve for treatment of a patient with a bioprosthetic valve with central regurgitation, a horizontal aorta, and kinking of the aortic prosthesis. (Level of Difficulty: Intermediate.).

Keywords: 2D, 2-dimensional; AR, aortic regurgitation; BE, balloon-expandable; CT, computed tomography; ID, inner diameter; RCA, right coronary artery; SE, self-expandable; TAV, transcatheter aortic valve; TAVR, transcatheter aortic valve replacement; VIV, valve-in-valve; bioprosthetic aortic valve regurgitation; horizontal aorta; surgical Wheat operation; valve-in-valve transcatheter aortic valve replacement.

Publication types

Case Reports