Related Experiment Video

Updated: Feb 10, 2026

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

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Transcatheter JenaValve Implantation in a Stentless Prosthesis: A Challenging Case After 4 Previous Aortic Procedures

Sandro Sponga1, Enzo Mazzaro1, Rodrigo Bagur2

  • 1Cardiothoracic Department, University Hospital of Udine, Udine, Italy.

The Canadian Journal of Cardiology
|February 9, 2017
PubMed

Insights

A high-risk patient with multiple prior aortic surgeries and severe aortic regurgitation successfully underwent a transcatheter valve-in-valve implantation. This minimally invasive procedure avoided a fifth redo surgery and potential heart transplantation.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Biomaterials in Medicine

Background:

  • A 40-year-old male patient experienced recurrent endocarditis and aortic prosthesis dehiscence, necessitating four previous aortic surgeries.
  • The patient presented with acute severe aortic regurgitation of a stentless bioprosthesis, aortic root distortion, left ventricular dysfunction, and anomalous left coronary artery origin.

Observation:

  • The patient exhibited left ventricular dysfunction and an anomalous origin of the left coronary artery.
  • A fifth redo aortic valve replacement was deemed excessively high-risk.

Findings:

  • Transcatheter valve-in-valve implantation using the JenaValve prosthesis was successfully performed.
  • This minimally invasive approach was chosen prior to considering heart transplantation.

Implications:

  • Transcatheter valve-in-valve implantation can be a viable option for patients with complex aortic pathology and multiple prior surgeries.
  • This case highlights the potential of advanced interventional techniques in managing high-risk cardiac surgical patients.

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