Transcatheter Valve-in-Valve Implantation for Deteriorated Aortic Bioprosthesis: Initial Clinical Results and Follow-Up in a Series of High-Risk Patients

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Transcatheter Valve-in-Valve Implantation for Deteriorated Aortic Bioprosthesis: Initial Clinical Results and Follow-Up in a Series of High-Risk Patients Manuel Wilbring, MD, Bjoern Sill, MD, Sems Malte Tugtekin, MD, Konstantin Alexiou, MD, Gregor Simonis, MD, Klaus Matschke, MD, Utz Kappert, MD The Annals of Thoracic Surgery Volume 93, Issue 3, Pages 734-741 (March 2012) DOI: 10.1016/j.athoracsur.2011.11.008 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The bioprosthesis indicates the landing zone very clearly and relieves orthograde positioning of the crimped Edwards SAPIEN valve (Edwards Lifesciences, Irvine, CA). The Annals of Thoracic Surgery 2012 93, 734-741DOI: (10.1016/j.athoracsur.2011.11.008) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Valve delivery through slow and gradual inflation. Stepwise fluoroscopy and echocardiographic control is mandatory. The Annals of Thoracic Surgery 2012 93, 734-741DOI: (10.1016/j.athoracsur.2011.11.008) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Final position of the valve (Edwards SAPIEN; Edwards Lifesciences, Irvine, CA); angiography indicates a good result without relevant insufficiency. The Annals of Thoracic Surgery 2012 93, 734-741DOI: (10.1016/j.athoracsur.2011.11.008) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions