scholarly journals The bailout transseptal approach during valve-in-valve transcatheter aortic valve implantation with difficult crossing of the degenerated Mitroflow bioprosthetic valve

2021 ◽  
Author(s):  
Damian Hudziak ◽  
Andrzej Ochała ◽  
Radosław Gocoł ◽  
Michał Kozłowski ◽  
Wojciech Wojakowski
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Bioprosthetic Valve ◽  
Transcatheter Aortic Valve ◽  
Transseptal Approach ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

scholarly journals Valve-in-valve transcatheter aortic valve implantation with fracturing of a failed small surgical aortic bioprosthesis: a case report

2020 ◽  
Author(s):  
Matjaz Bunc ◽  
Miha Cercek ◽  
Tomaz Podlesnikar ◽  
Simon Terseglav ◽  
Klemen Steblovnik
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Ex Vivo ◽  
Bioprosthetic Valve ◽  
Heart Team ◽  
Transcatheter Aortic Valve ◽  
Patient Prosthesis Mismatch ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background Failure of a small surgical aortic bioprosthesis represents a challenging clinical scenario with valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) often resulting in patient-prosthesis mismatch. Bioprosthetic valve fracture (BVF) performed as a part of the ViV TAVI has recently emerged as an alternative approach with certain types of surgical bioprostheses. Case summary An 81-year-old woman with a history of three surgical aortic valve procedures presented with heart failure. Aortic bioprosthesis degeneration with severe stenosis and moderate regurgitation was found. The patient was deemed a high-risk surgical candidate and the heart team decided that ViV TAVI was the preferred treatment option. Due to the very small 19 mm stented surgical aortic bioprosthesis Mitroflow 19 mm (Sorin Group, Italy) we decided to perform BVF as a part of ViV TAVI to prevent patient-prosthesis mismatch. Since this was the first BVF procedure in our centre, an ex vivo BVF of the same kind of bioprosthetic valve was performed first. Subsequently, successful BVF with implantation of Evolut R 23 mm (Medtronic, USA) self-expandable transcatheter valve was performed. Excellent haemodynamic result was achieved and no periprocedural complications were present. The patient had an immediate major improvement in clinical status and remains asymptomatic after 6 months. Discussion Bioprosthetic valve fracture together with ViV TAVI is a safe and effective emerging technique for treatment of small surgical aortic bioprosthesis failure. Bioprosthetic valve fracture allows marked oversizing of implanted self-expandable transcatheter aortic valves, leading to excellent haemodynamic and clinical results. An ex vivo BVF can serve as an important preparatory step when introducing the new method.

Outcomes of valve-in-valve transcatheter aortic valve implantation with and without bioprosthetic valve fracture

2021 ◽  
Vol 17 (10) ◽  
pp. 848-855
Author(s):  
Christina Brinkmann ◽  
Mohamed Abdel-Wahab ◽  
Francesco Bedogni ◽  
Oliver Daniel Bhadra ◽  
Gaetan Charbonnier ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Bioprosthetic Valve ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Valve-in-Valve Transcatheter Aortic Valve Implantation: The New Playground for Prosthesis-Patient Mismatch

2014 ◽  
Vol 27 (3) ◽  
pp. 287-292 ◽  
Author(s):  
GLORIA FAERBER ◽  
SIMONE SCHLEGER ◽  
MAHMOUD DIAB ◽  
MARTIN BREUER ◽  
HANS R. FIGULLA ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Role of computed tomography in transcatheter aortic valve implantation and valve-in-valve implantation

2020 ◽  
Vol 21 (3) ◽  
pp. 182-191 ◽  
Author(s):  
Marcello Chiocchi ◽  
Francesca Ricci ◽  
Monia Pasqualetto ◽  
Francesca D’Errico ◽  
Leonardo Benelli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Severe structural deterioration of small aortic bioprostheses treated with valve-in-valve transcatheter aortic valve implantation

2019 ◽  
Vol 34 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Tomasz Stankowski ◽  
Sleiman Sebastian Aboul-Hassan ◽  
Farzaneh Seifi-Zinab ◽  
Volker Herwig ◽  
Miroslava Kubikova ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
Transcatheter Aortic Valve ◽  
Structural Deterioration ◽  
Valve In Valve ◽  
Aortic Valve Implantation ◽  
Valve Implantation
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