A rescue transcatheter solution for early sutureless basal ring infolding.

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure for aortic valve stenosis.
• Sutureless valves offer an alternative TAVI option, but complications can occur.
• Early structural valve deterioration is a rare but serious complication.

Observation:

• An 83-year-old woman presented with symptoms of aortic valve dysfunction.
• Imaging revealed early partial collapse of the basal ring of a previously implanted sutureless aortic valve.
• Severe septal hypertrophy was identified as a potential contributing factor.

Findings:

• A "rescue" valve-in-valve transcatheter aortic valve implantation was successfully performed.
• The procedure addressed the structural failure of the initial sutureless valve.
• The patient tolerated the intervention well, with improved hemodynamics.

Implications:

• This case highlights the feasibility of valve-in-valve TAVI as a rescue strategy for sutureless valve failure.
• Septal hypertrophy should be considered in the assessment of patients with sutureless valves.
• Further research is needed to understand the long-term outcomes of this approach.