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Book review

https://doi.org/10.20471/acc.2024.63.s1.16

Valve-in-Valve Implantation Gone South: A Case Report

Robert Bernat ; Westpfalz-Klinikum Kaiserslautern, Germany; Medical School Osijek, Osijek, Croatia *
Volker Windmüller ; Westpfalz-Klinikum Kaiserslautern, Germany
Vasileios Leivaditis ; Westpfalz-Klinikum Kaiserslautern, Germany
Manfred Dahm ; Westpfalz-Klinikum Kaiserslautern, Germany
Burghard Schumacher ; Westpfalz-Klinikum Kaiserslautern, Germany

* Corresponding author.


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Abstract

Valve-in-Valve (ViV) procedures for failed surgical bioprostheses are becoming increasingly
common. We present a case of a 73-year-old male patient with significant comorbidities who
underwent a primary transcatheter aortic valve implantation (TAVI) with an Evolut 29 mm (Medtronic,
Minneapolis, MN, USA) valve. This TAVI-prosthesis implantation failed due to the inability to fix the
valve at the appropriate height to achieve an optimal hemodynamic result. The valve had to be snared
and pulled into an adequate position and was then fixed by an implantation of another TAVI-prosthesis
(29 mm Sapien S3, Edwards Lifesciences, Irvine, CA, USA) with optimal final result. The patient was
discharged after significant clinical improvement and without further complications.

Keywords

Structural interventions; Transcatheter aortic valve replacement; Complications

Hrčak ID:

321253

URI

https://hrcak.srce.hr/321253

Publication date:

1.3.2024.

Article data in other languages: croatian

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