scholarly journals Sutureless aortic valve replacement to prevent patient–prosthesis mismatch in the era of valve-in-valve implantation

2012 ◽  
Vol 144 (1) ◽  
pp. 279-280 ◽  
Author(s):  
Giuseppe Santarpino ◽  
Steffen Pfeiffer ◽  
Theodor Fischlein
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Patient Prosthesis Mismatch ◽  
Valve In Valve ◽  
Valve Implantation

scholarly journals Trans-Catheter Valve-in-Valve Implantation for the Treatment of Aortic Bioprosthetic Valve Failure

2022 ◽  
Vol 11 (2) ◽  
pp. 344
Author(s):  
Andrea Buono ◽  
Diego Maffeo ◽  
Giovanni Troise ◽  
Francesco Donatelli ◽  
Maurizio Tespili ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Treatment Option ◽  
Multimodal Imaging ◽  
Bioprosthetic Heart Valve ◽  
Patient Prosthesis Mismatch ◽  
Valve In Valve ◽  
Valve Implantation ◽  
Coronary Obstruction

Aortic valve-in-valve (ViV) procedure is a valid treatment option for patients affected by bioprosthetic heart valve (BHV) degeneration. However, ViV implantation is technically more challenging compared to native trans-catheter aortic valve replacement (TAVR). A deep knowledge of the mechanism and features of the failed BHV is pivotal to plan an adequate procedure. Multimodal imaging is fundamental in the diagnostic and pre-procedural phases. The main challenges associated with ViV TAVR consist of a higher risk of coronary obstruction, severe post-procedural patient-prosthesis mismatch, and a difficult coronary re-access. In this review, we describe the principles of ViV TAVR.

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