Minimally invasive transapical aortic valve-in-a-valve implantation for severe aortic regurgitation in a degenerated stentless bioprosthesis  Timotheos.

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Minimally invasive transapical aortic valve-in-a-valve implantation for severe aortic regurgitation in a degenerated stentless bioprosthesis  Timotheos G. Kelpis, MD, Nikolaos E. Mezilis, MD, FESC, Vlasis N. Ninios, MD, MRCP, Antonis A. Pitsis, MD, FETCS, FESC  The Journal of Thoracic and Cardiovascular Surgery  Volume 138, Issue 4, Pages 1018-1020 (October 2009) DOI: 10.1016/j.jtcvs.2009.05.020 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative transesophageal echocardiography: Mid-esophageal long-axis view showing severe regurgitation of the aortic bioprosthesis. LA, Left atrium; LV, left ventricle; Ao, aorta. B, Postoperative transesophageal echocardiography: Mid-esophageal long-axis view showing normal function of the Edwards SAPIEN THV (Edwards Lifesciences, Irvine, CA). The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1018-1020DOI: (10.1016/j.jtcvs.2009.05.020) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Valve positioning. B, Valve deployment. C, Final result. The Journal of Thoracic and Cardiovascular Surgery 2009 138, 1018-1020DOI: (10.1016/j.jtcvs.2009.05.020) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions