The valve‐in‐valve technique: Transcatheter treatment of aortic bioprothesis malposition

Percutaneous aortic valve replacement is an emerging alternative to palliative medical therapy for nonsurgical patients with severe aortic valve stenosis. The impossibility of repositioning of the current transcatheter prosthesis in case of suboptimal placement is the main limit of these devices. He...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2009-04, Vol.73 (5), p.713-716
Main Authors: Ussia, Gian Paolo, Mulè, Massimiliano, Tamburino, Corrado
Format: Article
Language:English
Subjects:
Aged, 80 and over
aortic regurgitation
Aortic Valve Stenosis - diagnostic imaging
Aortic Valve Stenosis - physiopathology
Aortic Valve Stenosis - therapy
Aortography
Bioprosthesis
Cardiac Catheterization - instrumentation
Catheterization
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Hemodynamics
Humans
percutaneous valve
Prosthesis Design
Prosthesis Failure
Radiography, Interventional
Severity of Illness Index
Treatment Outcome
valve‐in‐valve
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Summary:Percutaneous aortic valve replacement is an emerging alternative to palliative medical therapy for nonsurgical patients with severe aortic valve stenosis. The impossibility of repositioning of the current transcatheter prosthesis in case of suboptimal placement is the main limit of these devices. Here, we report on a case of an 84‐year‐old woman successfully treated with implantation of two 18‐Fr CoreValve® prosthesis (CoreValve®, Irvine, California), because of the suboptimal deployment of the first one, analyzing the procedural technique and the immediate and short‐term clinical and hemodynamic results. © 2009 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.21896