Bioprosthetic valve fracture to facilitate valve-in-valve transcatheter aortic valve repair

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 289-289
Author(s):  
Keith B. Allen ◽  
Adnan K. Chhatriwalla ◽  
John T. Saxon ◽  
Janarthanan Sathananthan ◽  
Danny Dvir ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bioprosthetic Valve ◽  
Aortic Valve Repair ◽  
Valve Repair ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve

scholarly journals Bioprosthetic valve fracture to facilitate valve-in-valve transcatheter aortic valve repair

2020 ◽  
Vol 9 (6) ◽  
pp. 528-530
Author(s):  
Keith B. Allen ◽  
Adnan K. Chhatriwalla ◽  
John T. Saxon ◽  
Janarthanan Sathananthan ◽  
Danny Dvir ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Bioprosthetic Valve ◽  
Aortic Valve Repair ◽  
Valve Repair ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve

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.

scholarly journals Temporal Trend, Prevalence, Predictors, and Outcomes of Pericardial Diseases in Patients Undergoing Transcatheter Aortic Valve Repair

Cureus ◽  
2021 ◽  
Author(s):  
Kashyap Shah ◽  
Matthew Krinock ◽  
Harshith Thyagaturu ◽  
Rezwan Munshi ◽  
Ayushi Pandya ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Temporal Trend ◽  
Aortic Valve Repair ◽  
Valve Repair ◽  
Transcatheter Aortic Valve ◽  
Pericardial Diseases

Transcatheter aortic valve in valve implantation with bioprosthetic valve fracture

2019 ◽  
Vol 93 (6) ◽  
pp. 1170-1172
Author(s):  
Taylor M. James ◽  
Sotiris C. Stamou ◽  
Mark Rothenberg ◽  
Marcos A. Nores
Keyword(s):  
Aortic Valve ◽  
Bioprosthetic Valve ◽  
Transcatheter Aortic Valve ◽  
Valve In Valve ◽  
Valve Implantation
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