Reoperative Transapical Aortic Valve Implantation for Early Structural Valve Deterioration of a SAPIEN XT valve Philipp Kiefer, MD, Joerg Seeburger,

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Reoperative Transapical Aortic Valve Implantation for Early Structural Valve Deterioration of a SAPIEN XT valve Philipp Kiefer, MD, Joerg Seeburger, MD, PhD, Michael W.A. Chu, MD, FRCSC, Joerg Ender, MD, Marcel Vollroth, MD, Thilo Noack, MD, Friedrich W. Mohr, MD, PhD, David M. Holzhey, MD The Annals of Thoracic Surgery Volume 95, Issue 6, Pages 2169-2170 (June 2013) DOI: 10.1016/j.athoracsur.2012.10.072 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transesophageal echocardiography with long-axis (A) and short-axis (B) views of the transcatheter valve in aortic position with signs of early structural valve deterioration: (effective orifice area = 0.5 cm2, Pmax/Pmean 83/49 mm Hg). The Annals of Thoracic Surgery 2013 95, 2169-2170DOI: (10.1016/j.athoracsur.2012.10.072) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Angiography of the left ventricle with final result after valve-in-valve implantation. The Annals of Thoracic Surgery 2013 95, 2169-2170DOI: (10.1016/j.athoracsur.2012.10.072) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions