Aortic Valve Replacement After Transapical Valve-in-Valve Implantation

Transapical valve-in-valve aortic valve replacement has emerged as an attractive alternative for high-risk surgery in elderly patients with degenerated aortic bioprothesis. Despite recent encouraging results, further clinical investigation is required to avoid potential cases of prosthesis-aortic annulus mismatch. We report a surgical valve replacement in a high-risk patient with dysfunctional transapical, implanted aortic valve-in-valve prosthesis 1 year after implantation. (Ann Thorac Surg 2011; 91: e5-7) (C) 2011 by The Society of Thoracic Surgeons