Volume 92, Issue 7 pp. 1412-1413
Valvular and Structural Heart Diseases

Transcatheter valve-in-valve for failing bioprosthetic aortic valve: Usually a good idea

Asaad Khan MD

Asaad Khan MD

Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York City, New York

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George Dangas MD

Corresponding Author

George Dangas MD

Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York City, New York

Correspondence

George Dangas, Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York City, NY.

Email: [email protected]

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First published: 07 December 2018

Key Points

  • Use of bioprosthetic implants for surgical aortic valve replacements (SAVR) has been increasing in the recent years
  • Surgical redo AVRs for failed surgical aortic bioprostheses have been traditionally considered the standard practice; however, in patients with higher surgical risk scores, transcatheter valve-in-valve aortic valve replacements are being commonly performed
  • There is scarcity of data comparing these two approaches in this complex patient cohort
  • Available data suggest that transcatheter ViV aortic valve replacement is generally a safe approach once some caveats are accounted for

CONFLICT OF INTEREST

Nothing to report.

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