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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Degenerated Suturless Perceval with (Paravalvular Leak and AS) Treated by Valve in Valve using S3 Edward Valve

Mohammed Ali Balghith1

  • 1King Abdulaziz Cardiac Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Heart Views : the Official Journal of the Gulf Heart Association
|December 6, 2019
PubMed

Insights

This case study highlights a successful transcatheter aortic valve replacement (TAVR) valve-in-valve procedure for a high-risk patient with degenerated bioprosthetic aortic valve and severe aortic regurgitation.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • A 70-year-old female with diabetes and hypertension presented with coronary artery disease.
  • Initial treatment included coronary artery bypass grafting and a sutureless Perceval aortic valve implantation in 2012.

Observation:

  • The patient developed progressive dyspnea on exertion 5 years post-implantation.
  • Imaging revealed moderate-to-severe aortic regurgitation and moderate aortic stenosis, leading to heart failure admissions.

Findings:

  • The patient was deemed high-risk for conventional surgery.
  • Percutaneous valve-in-valve (VIV) transcatheter aortic valve replacement (TAVR) was successfully performed using an Edwards S3 valve.

Implications:

  • This case demonstrates the efficacy of the valve-in-valve TAVR approach for managing degenerated bioprosthetic aortic valves in high-risk patients.
  • It offers a viable alternative to surgical reintervention, improving outcomes and quality of life.

Keywords:
Aortic regurgitationaortic stenosisaortic valve replacementdegenerated prosthetic aortic valveparavalvular leakvalve in valve

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