Abstract
Currently, transcatheter aortic valve replacements within degenerated surgical bioprosthetic aortic valves (valve in valve) are increasing in frequency with studies supporting their safety and efficacy. We present the rare case of a patient requiring a second transcatheter bioprosthetic aortic valve placed within a previously placed degenerated transcatheter aortic valve, which was implanted in a degenerated surgical bioprosthetic aortic valve. The procedure was performed using a percutaneous cardiopulmonary bypass with TandemLife for hemodynamic support.
Highlights
Transcatheter aortic valve replacement (TAVR) is gaining an increasingly important role in the treatment of symptomatic patients with severe aortic stenosis (AS) [1,2,3]
Within degenerated surgical bioprosthetic valves has become an important field of study, especially in high-risk surgical patients
Among patients that are at high risk of complications of surgical aortic valve replacement (AVR), valve-in-valve (ViV) TAVR is an attractive and safe alternative [4]
Summary
Transcatheter aortic valve replacement (TAVR) is gaining an increasingly important role in the treatment of symptomatic patients with severe aortic stenosis (AS) [1,2,3]. Among patients that are at high risk of complications of surgical aortic valve replacement (AVR), valve-in-valve (ViV) TAVR is an attractive and safe alternative [4]. A 68-year-old male with a history of heart failure and reduced ejection fraction (HFrEF), and with a left ventricular ejection fraction (LVEF) of 30%, hypertension, hyperlipidemia, and cirrhosis secondary to nonalcoholic steatotic hepatitis (NASH) was referred for symptomatic severe bioprosthetic aortic valve stenosis. He had a surgical AVR with a 21 mm Carpentier–Edwards PERIMOUNT aortic heart valve 13 years ago, followed by TAVR with a 23 mm Edwards Sapien XT valve three years ago
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