Transcatheter aortic valve implantation 10 years after valve-in-valve transcatheter aortic valve implantation for failing aortic valve homograft root replacement

被引:2
作者
Duncan, Alison [1 ]
Mirsadree, Saeed [1 ]
Quarto, Cesare [1 ]
Davies, Simon [1 ]
机构
[1] Royal Brompton Hosp, Heart Div, London, England
关键词
transcatheter heart valve; transcatheter aortic valve implantation; valve-in valve; coronary obstruction; HIGH-RISK; DURABILITY;
D O I
10.1002/ccd.28658
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) is an established therapy for a degenerated surgical bioprosthesis. TAVI-in-TAVI following ViV-TAVI has not been previously performed. We report a high-risk patient presenting with severe left ventricular failure secondary to undiagnosed critical aortic stenosis due to degeneration of the implanted transcatheter heart valve more than a decade after initial ViV-TAVI for a failing stentless aortic valve homograft. Successful TAVI-in-TAVI reversed the clinical and echocardiographic changes of decompensated heart failure with no evidence of coronary obstruction.
引用
收藏
页码:228 / 235
页数:8
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