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Updated: Oct 9, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
BASILICA Procedure Prior to Valve-in-Valve TAVR in a Supra-Annular TAV Prosthesis
Anna Damlin1,2,3,4, Christopher Meduri3, Aristomenis Manouras3,4
1Department of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden.
Abstract:
An 80-year-old man with a supra-annular transcatheter aortic valve (TAV) prosthesis presented with severe transvalvular aortic regurgitation 18 months after the TAV replacement procedure. The authors report the first ever valve-in-valve procedure using BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) in such a supra-annular TAV prosthesis. Minimal paravalvular leakage, normal coronary artery flow, and easy coronary access were seen postimplantation. (Level of Difficulty: Advanced.).
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