Transcatheter Aortic Valve-in-Valve Implantation Using Lotus Valve for Failed Surgical Bioprostheses Fausto Castriota, MD, Roberto Nerla, MD, Antonio.

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Transcatheter Aortic Valve-in-Valve Implantation Using Lotus Valve for Failed Surgical Bioprostheses Fausto Castriota, MD, Roberto Nerla, MD, Antonio.

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Transcatheter Aortic Valve-in-Valve Implantation Using Lotus Valve for Failed Surgical Bioprostheses Fausto Castriota, MD, Roberto Nerla, MD, Antonio Micari, MD, PhD, Caterina Cavazza, MD, Francesco Bedogni, MD, Luca Testa, MD, Matteo Montorfano, MD, Mauro Del Giglio, MD, Alberto Cremonesi, MD The Annals of Thoracic Surgery Volume 104, Issue 2, Pages 638-644 (August 2017) DOI: 10.1016/j.athoracsur.2016.11.020 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagnostic and preprocedural work-up for valve-in-valve (ViV) procedure with the Lotus valve system. (CT = computed tomography; ID = internal diameter; TOE = transoesophageal echocardiography; TTE = transthoracic echocardiography.) The Annals of Thoracic Surgery 2017 104, 638-644DOI: (10.1016/j.athoracsur.2016.11.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Basal and follow-up mean ventriculoaortic (V-A) gradients in patients with pure regurgitation mechanism for degeneration and in patients with pure stenosis or mixed degeneration. Blue bars indicate preprocedural, red bars indicate discharge, green bars indicate 1-month follow-up, and purple bars indicate 6-month follow-up (FU). (n.s. = nonsignificant.) The Annals of Thoracic Surgery 2017 104, 638-644DOI: (10.1016/j.athoracsur.2016.11.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Patients with no aortic regurgitation (blue), or mild (green), moderate (red), or severe (purple) aortic regurgitation in each of the different phases of the study: preoperative (Pre-op), discharge, 1-month follow-up (FU), and 6-month follow-up. The Annals of Thoracic Surgery 2017 104, 638-644DOI: (10.1016/j.athoracsur.2016.11.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 New York Heart Association (NYHA) functional class of patients at preoperative (PRE-OP) baseline, 1-month follow-up (FUP), and 6-month follow-up. Purple indicates NYHA class IV, green indicates class III, red indicates class II, and blue indicates class I. The Annals of Thoracic Surgery 2017 104, 638-644DOI: (10.1016/j.athoracsur.2016.11.020) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions