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Valve-in-Valve Transcatheter Aortic Valve Implantation: A Novel Approach to Treat Paravalvular Leak
Pranav Loyalka, MD, Kelsey B. Montgomery, BS, Tom C. Nguyen, MD, Richard W. Smalling, MD, Melissa Howe, RN, Keshava Rajagopal, MD, PhD The Annals of Thoracic Surgery Volume 104, Issue 4, Pages e325-e327 (October 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Cracking the bioprosthetic ring (white arrow) with ultra-high pressure balloon after transcatheter heart valve (THV) implantation. Notice low position of THV in relation to surgical valve. The Annals of Thoracic Surgery , e325-e327DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Transthoracic echocardiographic images before transcatheter heart valve implantation (Pre-THV) and after cracking (Post-Cracking), demonstrating resolution of paravalvular leak. The Annals of Thoracic Surgery , e325-e327DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 Left ventricular and aortic pressure tracings and transvalvular pressure gradients before transcatheter heart valve (THV) implantation (Pre-THV), after THV implantation (Post-THV), and after cracking (Post-Cracking). (21 EPIC = 21-mm St. Jude Epic valve; 23 XT = 23-mm Edwards Sapien XT THV.) The Annals of Thoracic Surgery , e325-e327DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
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