Transfemoral Valve-in-Valve Transcatheter Aortic Valve Implantation (TAVI) in a Patient With Previous Endovascular Aortic Repair (EVAR)

A 90-year-old man presented with increasing exertional breathlessness. He had previous implantation of a Perimount bioprosthetic aortic valve (Edwards Lifesciences) and coronary artery bypass graft surgery. Due to severe transvalvular bioprosthetic regurgitation with preserved left ventricular dimen...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2016-07, Vol.28 (7), p.E69-E70
Main Authors: Ruparelia, Neil, Panoulas, Vasileios F, Frame, Angela, Nathan, Anthony W, Ariff, Ben, Jaffer, Usman, Sutaria, Nilesh, Chukwuemeka, Andrew, Mikhail, Ghada W, Malik, Iqbal S
Format: Article
Language:English
Subjects:
Aged, 80 and over
Aortic Valve - diagnostic imaging
Aortic Valve - surgery
Aortic Valve Insufficiency - diagnosis
Aortic Valve Insufficiency - etiology
Aortic Valve Insufficiency - physiopathology
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - diagnosis
Aortic Valve Stenosis - surgery
Bioprosthesis - adverse effects
Central Venous Catheters
Endovascular Procedures - adverse effects
Endovascular Procedures - methods
Heart Valve Prosthesis - adverse effects
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Humans
Male
Risk Adjustment - methods
Transcatheter Aortic Valve Replacement - methods
Treatment Outcome
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Summary:A 90-year-old man presented with increasing exertional breathlessness. He had previous implantation of a Perimount bioprosthetic aortic valve (Edwards Lifesciences) and coronary artery bypass graft surgery. Due to severe transvalvular bioprosthetic regurgitation with preserved left ventricular dimensions and ejection fraction, the heart team decided on valve-in- valve transcatheter aortic valve implantation via the transfemoral route in view of the patient's prohibitively high surgical and anesthetic risk. The patient had an uncomplicated recovery and was symptomatically much improved at 3-month follow-up.
ISSN:1557-2501