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- Publisher
- Springer Journals
- Copyright
- Copyright © 2017 by The Author(s)
- Subject
- Medicine & Public Health; Internal Medicine; Cardiology
- ISSN
- 2193-8261
- eISSN
- 2193-6544
- DOI
- 10.1007/s40119-017-0088-4
- Publisher site
- See Article on Publisher Site
Abstract
A 55-year-old male with a history of two prior cardiac surgeries presented with decompensated heart failure due to severe bioprosthetic aortic valve insufficiency. A third operation was viewed prohibitively high risk and valve-in-valve trans-catheter aortic valve replacement was considered. There were however several high-risk features and technically challenging aspects including low coronary ostia height, poor visualization of the aortic sinuses, and difficulty in identification of the coplanar view due to severe aortic insufficiency, and a highly mobile aortic valve mass. After meticulous peri-procedural planning, trans-catheter aortic valve replacement was carried out with a SAPIEN 3 balloon-expandable valve without any complication. Strategies undertaken to navigate the technically challenging aspects of the case are discussed.
Journal
Cardiology and Therapy – Springer Journals
Published: Mar 28, 2017