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Updated: Oct 25, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic valve reintervention after transcatheter aortic valve replacement
Shinichi Fukuhara1, Chan Tran N Nguyen1, Karen M Kim1
1Department of Cardiac Surgery, University of Michigan, Ann Arbor, Mich.
Few patients need aortic valve reintervention after transcatheter aortic valve replacement (TAVR). Repeat TAVR is often not possible due to anatomy or other surgeries, highlighting the need for careful initial planning.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Transcatheter aortic valve replacement (TAVR) is increasingly common.
- Data on aortic valve reintervention after TAVR is limited.
Purpose of the Study:
- To investigate the incidence and reasons for aortic valve reintervention after TAVR.
- To identify factors influencing the feasibility of repeat TAVR.
Main Methods:
- Retrospective review of 28 patients who underwent aortic valve reintervention after TAVR between 2011 and 2019.
- Analysis of indications for reintervention, patient characteristics, and outcomes.
Main Results:
- The cumulative incidence of aortic valve reintervention was 4.6% at 8 years.
- Leading indications for reintervention were structural valve degeneration (39%) and paravalvular leak (36%).
- Most patients (71%) were unsuitable for repeat TAVR due to concurrent cardiac procedures or unfavorable anatomy.
Conclusions:
- Repeat TAVR is often not feasible due to anatomical constraints and the need for additional cardiac procedures.
- Initial TAVR planning should consider the potential need for future reinterventions, especially in younger patients.
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