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Updated: Jan 26, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Direct access valve-in-valve implantation for management of complex valvulopathy
Alexander P Kossar1, Michael Borger2, Isaac George1
1Division of Cardiothoracic Surgery, New York Presbyterian Hospital-Columbia University Medical Center, New York, New York.
Abstract:
The management of bioprosthetic structural valve degeneration requires complex surgical or transcatheter re-intervention for which many high-risk patients are not considered candidates. Here, we describe a technique for a direct surgical access valve-in-valve implantation in patients with complex bioprosthetic valvulopathy for whom standard surgical valve replacement and percutaneous interventions were high-risk and contraindicated, respectively.
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