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. 2019 Oct 9;1(4):468-470.
doi: 10.1016/j.jaccas.2019.08.020. eCollection 2019 Dec.

Valve in Valve in Valve

Brian J Grondahl  1 , Gaurav Dhar  1
Affiliations

Valve in Valve in Valve

Brian J Grondahl et al. JACC Case Rep. .

Abstract

A female patient presented with severe, symptomatic aortic stenosis after distant surgical aortic valve replacement and subsequent transcatheter aortic valve implantation 6 years prior. A 23-mm CoreValve Evolut (Medtronic, Dublin, Ireland) was implanted with excellent symptomatic and hemodynamic results. (Level of Difficulty: Advanced.).

Keywords: TAVI, transcatheter aortic valve implantation; aortic stenosis; transcatheter aortic valve implantation; valve disease.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Valve in Valve in Valve (A) Lateral chest-x-ray, (B) lateral chest x-ray with the aortic bioprosthesis highlighted, (C) fluoroscopy at the time of implantation, (D) fluoroscopy with the aortic bioprosthesis highlighted, and (E) a close-up of the valve configuration. Red outline = Surgical Hancock II aortic valve ring; blue outline = Edwards-Sapien transcatheter aortic valve implantation; green outline = Medtronic CoreValve Evolut transcatheter aortic valve implantation.
See this image and copyright information in PMC

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