First Report of Evolut Proþ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve

被引：1

作者：

Stolte, Thorald ^{[1
,2
,3
]}

Winkel, David ^{[4
]}

Haaf, Philip ^{[1
,2
]}

Nestelberger, Thomas ^{[1
,2
,4
,5
]}

机构：

[1] Univ Basel, Univ Hosp Basel, Dept Cardiol, Basel, Switzerland

[2] Univ Basel, Univ Hosp Basel, Cardiovasc Res Inst Basel CRIB, Basel, Switzerland

[3] Swiss Fed Inst Technol, Dept Hlth Sci & Technol, Zurich, Switzerland

[4] Univ Basel, Univ Hosp Basel, Dept Radiol, Basel, Switzerland

[5] Univ Hosp Basel, Dept Cardiol, Petersgraben 4, CH-4031 Basel, Switzerland

来源：

STRUCTURAL HEART-THE JOURNAL OF THE HEART TEAM | 2024年 / 8卷 / 01期

关键词：

Functional computed tomography; Transcatheter aortic valve implantation; Valve; -in; -valve; Valve prosthesis degeneration;

D O I：

10.1016/j.shj.2023.100229

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The increasing use of transcatheter aortic valves in patients with aortic stenosis has led to a higher number of valve -in -valve procedures due to gradual valve degeneration. We present a case of a 72 -year -old woman who received transcatheter aortic valve implantation (TAVI) using a Lotus valve due to severe aortic stenosis, which showed valve degeneration several years after the initial procedure. After heart -team discussion, TAVI-in-TAVI was planned using an Evolut pro+ valve, which allowed for full coverage of the Lotus valve and maintenance of coronary flow, resulting in a well -functioning valve with no regurgitation and normal performance. Despite high -risk anatomic features, valve -in -valve using an Evolut pro+ in a degenerated Lotus valve is feasible and overcomes pitfalls such as entanglement or coronary obstruction.

引用

页数：3

共 3 条

[1] First Transfemoral TAV-in-TAV Implantation of an ACURATE Neo2 Into a Degenerated Lotus Prosthesis [J].