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Updated: Feb 4, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Open transcatheter aortic valve implantation on a degenerated bioprosthetic valve conduit
Mahmoud Elghannam1, Peter-Lukas Haldenwang1, Yazan Aljabery1
1Department of Cardiothoracic Surgery, BGU Bergmannsheil Bochum, Ruhr-University of Bochum, Bürkle-de-la-Camp-Platz 1, Bochum, Germany.
Abstract:
The degeneration of bioprosthetic aortic Conduit with hemodynamic dysfunction mostly requires a re-do surgery, which is associated with an increased perioperative risk. Considering this, an open implantation of a transcatheter aortic bioprothesis (TAVI) after resection of the degenerated valve leaflets could be of great benefit, reducing cross-clamp and cardiopulmonary bypass duration, especially in combined surgery in high-risk patients. This is a case of a high-risk female (78 years, EuroScore 59%) treated with an open TAVI as an alternative to conventional valve or aortic conduit replacement for degenerative aortic valve due to endocarditis lente, 2 years following a bio-Bentall procedure.
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