Transcatheter Aortic Valve-in-Valve Implantation Complicated by Aorto-Right Ventricular Fistula
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Updated: Nov 29, 2025

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
Tiffany Patterson1, Ronak Rajani2, Giulia Esposito1
1Cardiovascular Division, The Rayne Institute British Heart Foundation Centre of Research Excellence, King's College London, St. Thomas' Hospital, London, United Kingdom.
Abstract:
We describe the case of a degenerative, sutureless bioprosthetic valve (BPV) with deformation and stent infolding in a patient with elevated surgical risk. Following discussion among the heart team, balloon valve fracture was performed to facilitate deployment of an aortic valve-in-valve transcatheter heart valve. Post-procedural imaging demonstrated BPV frame protrusion and contained annular rupture, which required operative intervention. (Level of Difficulty: Intermediate.).

