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Updated: Mar 2, 2026
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Surgical Aortic Valve Replacement Following Early Sapien-XT Valve Failure: A First
Tanveer Ahmad1, Prakash Ludhani1, Ronen Gurvitch2
1Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Melbourne, Vic, Australia.
Background:
Early degeneration of prosthetic aortic valve in transcatheter aortic valve replacement (TAVR) is a rare complication.
Method:
We report the case of a 75-year-old woman who presented with severe calcific stenosis of Edwards SAPIEN-XT valve implanted only 4 years previously. She is a Jehovah's Witness and has background of Sjogren's syndrome with secondary cryoglobulinaemic vasculitis. She was not a suitable candidate for valve-in-valve TAVR in view of early prosthetic valve failure by calcification.
Result:
She underwent surgical explantation of the Sapiens XT valve and mechanical aortic valve replacement.
Conclusion:
To our knowledge, this is the first time that early TAVR valve degeneration and failure of an Edwards SAPIEN-XT valve was reported which required surgical replacement with a mechanical valve.
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