First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve
The increasing use of transcatheter aortic valves in patients with aortic stenosis has led to a higher number of valve-in-valve procedures due to gradual valve degeneration. We present a case of a 72-year-old woman who received transcatheter aortic valve implantation (TAVI) using a Lotus valve due t...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-01-01
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| Series: | Structural Heart |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2474870623001239 |
| _version_ | 1797351584440516608 |
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| author | Thorald Stolte, BSc David Winkel, MD Philip Haaf, MD Thomas Nestelberger, MD |
| author_facet | Thorald Stolte, BSc David Winkel, MD Philip Haaf, MD Thomas Nestelberger, MD |
| author_sort | Thorald Stolte, BSc |
| collection | DOAJ |
| description | The increasing use of transcatheter aortic valves in patients with aortic stenosis has led to a higher number of valve-in-valve procedures due to gradual valve degeneration. We present a case of a 72-year-old woman who received transcatheter aortic valve implantation (TAVI) using a Lotus valve due to severe aortic stenosis, which showed valve degeneration several years after the initial procedure. After heart-team discussion, TAVI-in-TAVI was planned using an Evolut pro+ valve, which allowed for full coverage of the Lotus valve and maintenance of coronary flow, resulting in a well-functioning valve with no regurgitation and normal performance. Despite high-risk anatomic features, valve-in-valve using an Evolut pro+ in a degenerated Lotus valve is feasible and overcomes pitfalls such as entanglement or coronary obstruction. |
| first_indexed | 2024-03-08T13:02:34Z |
| format | Article |
| id | doaj.art-c9385c99040b432b90640e3e86941618 |
| institution | Directory Open Access Journal |
| issn | 2474-8706 |
| language | English |
| last_indexed | 2024-03-08T13:02:34Z |
| publishDate | 2024-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Structural Heart |
| spelling | doaj.art-c9385c99040b432b90640e3e869416182024-01-19T05:01:50ZengElsevierStructural Heart2474-87062024-01-0181100229First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus ValveThorald Stolte, BSc0David Winkel, MD1Philip Haaf, MD2Thomas Nestelberger, MD3Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland; Department of Health Sciences and Technology, Swiss Federal Institute of Technology, Zurich, SwitzerlandDepartment of Radiology, University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, SwitzerlandDepartment of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland; Department of Radiology, University Hospital Basel, University of Basel, Basel, Switzerland; Address correspondence to: Thomas Nestelberger, MD, Department of Cardiology, University Hospital Basel, Petersgraben 4, CH-4031, Basel, Switzerland.The increasing use of transcatheter aortic valves in patients with aortic stenosis has led to a higher number of valve-in-valve procedures due to gradual valve degeneration. We present a case of a 72-year-old woman who received transcatheter aortic valve implantation (TAVI) using a Lotus valve due to severe aortic stenosis, which showed valve degeneration several years after the initial procedure. After heart-team discussion, TAVI-in-TAVI was planned using an Evolut pro+ valve, which allowed for full coverage of the Lotus valve and maintenance of coronary flow, resulting in a well-functioning valve with no regurgitation and normal performance. Despite high-risk anatomic features, valve-in-valve using an Evolut pro+ in a degenerated Lotus valve is feasible and overcomes pitfalls such as entanglement or coronary obstruction.http://www.sciencedirect.com/science/article/pii/S2474870623001239Functional computed tomographyTranscatheter aortic valve implantationValve-in-valveValve prosthesis degeneration |
| spellingShingle | Thorald Stolte, BSc David Winkel, MD Philip Haaf, MD Thomas Nestelberger, MD First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve Structural Heart Functional computed tomography Transcatheter aortic valve implantation Valve-in-valve Valve prosthesis degeneration |
| title | First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve |
| title_full | First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve |
| title_fullStr | First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve |
| title_full_unstemmed | First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve |
| title_short | First Report of Evolut Pro+ Transcatheter Aortic Valve-in-Valve in a Degenerated Lotus Valve |
| title_sort | first report of evolut pro transcatheter aortic valve in valve in a degenerated lotus valve |
| topic | Functional computed tomography Transcatheter aortic valve implantation Valve-in-valve Valve prosthesis degeneration |
| url | http://www.sciencedirect.com/science/article/pii/S2474870623001239 |
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