Transcatheter Aortic Valve Implantation Under Direct Visualization in Homograft Valve Endocarditis  Tarek Chami, MD, Guilherme Attizzani, MD, Benjamin.

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Transcatheter Aortic Valve Implantation Under Direct Visualization in Homograft Valve Endocarditis  Tarek Chami, MD, Guilherme Attizzani, MD, Benjamin Medalion, MD, Salil V. Deo, MD  The Annals of Thoracic Surgery  Volume 104, Issue 2, Pages e119-e121 (August 2017) DOI: 10.1016/j.athoracsur.2017.02.065 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Transthoracic echocardiographic view showing vegetation on the posterior aspect of the prosthetic aortic valve. (B) Continuous-wave Doppler view showing severe prosthetic aortic valve insufficiency. The Annals of Thoracic Surgery 2017 104, e119-e121DOI: (10.1016/j.athoracsur.2017.02.065) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomography of the chest with increased soft tissue density around the aortic root (arrow) and homograft calcification. The Annals of Thoracic Surgery 2017 104, e119-e121DOI: (10.1016/j.athoracsur.2017.02.065) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Continuous-wave Doppler view showing mean gradient of 10 mm Hg across the transcatheter valve-in-valve 3 months after implantation. The Annals of Thoracic Surgery 2017 104, e119-e121DOI: (10.1016/j.athoracsur.2017.02.065) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions