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Transcatheter Aortic Valve Replacement in a Failed Homograft.
Maximilian Reisinger1, Jay Vance2, Thomas Gilliland2
1Division of Cardiology, University of Vermont Medical Center, Burlington, Vermont, USA; Department of Internal Medicine, University of Vermont Medical Center, Burlington, Vermont, USA.
JACC. Case Reports
|March 20, 2026
Summary
Transcatheter aortic valve replacement (TAVR) in degenerated aortic homografts presents challenges, particularly with aortic regurgitation. A successful bailout redo-TAVR was performed, highlighting the need for specialized devices.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
Background:
- Surgical reintervention for degenerated aortic homografts carries significant operative risks.
- Transcatheter aortic valve replacement (TAVR) is a less invasive option but poses technical challenges with current devices.

