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Updated: Jan 10, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Transcatheter Valve-in-Valve Aortic Valve Replacement in Stented Coarctation With Restenosis: A Case Report
Pramod Sagar1, Aashish Chopra2, Kothandam Sivakumar1
1Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, Chennai, Tamil Nadu, India.
None:
Combination of bicuspid aortic valve and coarctation of aorta (CoA) is common. With the widespread use of transcatheter aortic valve replacement (TAVR), cases associated with either untreated or treated CoA forms an important subset and pose specific challenges. We discuss a case of a patient with previously stented coarctation presenting with degenerated aortic bioprosthesis considered for TAVR due to porcelain aorta. The CoA stent was significantly underexpanded, which was balloon dilated, followed by TAVR with a self-expandable valve. We discuss the factors determining sequence of management, choice of CoA management, access and valve choice for TAVR in this subset.
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