Successful Transapical Implantation of an Edwards Sapien Valve Within an Insufficient Aortic CoreValve Prosthesis: An Initial Experience Simone Schleger,

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Successful Transapical Implantation of an Edwards Sapien Valve Within an Insufficient Aortic CoreValve Prosthesis: An Initial Experience Simone Schleger, MD, Markus Kasel, MD, Jayshree Vogel, MS, Michael Lieber, MD, Dietmar Antoni, MD, Ellen Hoffmann, MD, PhD, Walter B. Eichinger, MD, PhD The Annals of Thoracic Surgery Volume 95, Issue 3, Pages 1070-1072 (March 2013) DOI: 10.1016/j.athoracsur.2012.06.029 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Current transesophageal echocardiography showing severe paravalvular regurgitation. The Annals of Thoracic Surgery 2013 95, 1070-1072DOI: (10.1016/j.athoracsur.2012.06.029) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Paravalvular leakage caused by deep implantation and underdeployment of the CoreValve prosthesis. Inset shows the measured anulus diameter within the CoreValve prosthesis (21.5 × 25) via CT scan. The Annals of Thoracic Surgery 2013 95, 1070-1072DOI: (10.1016/j.athoracsur.2012.06.029) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Proper positioning of the Edwards Sapien valve within the insufficient CoreValve. The Annals of Thoracic Surgery 2013 95, 1070-1072DOI: (10.1016/j.athoracsur.2012.06.029) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions