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Innovative Stent Reshaping With Dual Balloon Ovalization and Circular Reformation for Optimized Valve-in-Valve
Hadeel Allam1, Daisuke Kobayashi1, David T Balzer1
1Division of Cardiology, Department of Pediatrics, Washington University School of Medicine, St Louis Children's Hospital, St Louis, Missouri, USA.
JACC. Case Reports
|October 10, 2025
Summary
A novel double-balloon technique safely overexpands existing transcatheter valves, preserving diameter for future valve-in-valve procedures in patients with tetralogy of Fallot.
Area of Science:
- Cardiology
- Interventional Cardiology
- Biomedical Engineering
Background:
- Repeated transcatheter valve-in-valve (ViV) procedures can lead to reduced internal diameter and patient-prosthesis mismatch.
- Dysfunction of prior SAPIEN pulmonary valves occurred in two young adults with tetralogy of Fallot.

