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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Case Report: Selective metal cell excision during open TAVR implantation preserves coronary access while maintaining
Julia E Katter1, John Paul Tannous2, Katherine A Roberts1,3
1Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Frontiers in Medicine
|June 15, 2026
Summary
Managing degenerated transcatheter aortic valve replacement (TAVR) requires careful planning. A novel technique of selective metal cell excision during explantation preserved coronary access, offering a viable option for high-risk patients.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Prosthetic Valve Disease
Background:
- Coronary access after transcatheter aortic valve replacement (TAVR) is a significant challenge for re-interventions.
- Structural valve degeneration necessitates complex management strategies, with valve-in-valve (ViV) TAVR and surgical explantation having distinct risks and benefits.
