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Research Article | Volume 26 Issue 1 (, 2021) | Pages 118 - 120
Transfemoral Valve-In-Valve in a Degenerated Small Aortic Bioprosthesis: Five-Year Follow Up
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1
Division of Cardiac Surgery - Città della Salute e della Scienza 'Molinette', University of Turin, Turin, Italy. Electronic correspondence: salizzonis@gmail.com.
2
Division of Cardiac Surgery - Città della Salute e della Scienza 'Molinette', University of Turin, Turin, Italy.
3
Department of Cardiology, Policlinico Tor Vergata, University of Rome, Tor Vergata, Italy.
Under a Creative Commons license
PMID : -28544842
Published
Jan. 10, 2017
Abstract

A small-sized bioprosthesis can limit transcatheter valve-in-valve (V-in-V) implantations. The case is reported of a 91-year-old woman who had successfully undergone a V-in-V procedure with a 26 mm CoreValve in a previously implanted Mitroflow 19 mm valve. At the five-year follow up the prosthesis showed good echocardiographic function and the patient was alive and free from major symptoms. The patient died three months after the follow up examination at the age of 96 years. This case demonstrates the feasibility, with acceptable longterm functioning, of a V-in-V procedure involving a small bioprosthesis. To the authors' knowledge, the present report is the longest follow up of a patient who underwent V-in-V transcatheter aortic valve implantation in a 19 mm bioprosthesis (15.4 mm internal diameter). Video 1: Preoperative aortography showing moderate-to-severe aortic regurgitation. Video 2: Pre-implantation aortic balloon valvuloplasty. Video 3: Post-deployment aortography showing moderate-to-severe aortic regurgitation. Video 4: The final result. After post-dilation of the under-expanded 26 mm CoreValve, the aortic regurgitation is slightly reduced.

 

 

 

How to cite: Salizzoni, S., Conrotto, F., Rinaldi, M., Paolo Ussia, G., Ferraro, G., Giorgi, M., & D'Amico, M. (2017). Transfemoral Valve-In-Valve in a Degenerated Small Aortic Bioprosthesis: Five-Year Follow Up. The Journal of heart valve disease26(1), 118–120.

 
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