Redo surgical aortic valve replacement for prosthetic valve valve‐in‐valve dysfunction

• Published in: Journal of cardiac surgery Vol. 37; no. 4; pp. 1098 - 1100
• Main Authors: Tavilla, Giuseppe, Malhotra, Amber, Gunn, Brady, Beckles, Daniel L., Reddy, Ramachandra C.
• Format: Journal Article
• Language: English
• Published: United States 01-04-2022
• Subjects: Aged; Aortic Valve - surgery; aortic valve replacement; Aortic Valve Stenosis - surgery; Bioprosthesis; Female; Heart Valve Prosthesis; Heart Valve Prosthesis Implantation - methods; Humans; Prosthesis Design; redo surgery; Reoperation; Risk Factors; Transcatheter Aortic Valve Replacement; Treatment Outcome; valve explantation; valve‐in valve prosthesis; redo surgery; valve-in valve prosthesis; aortic valve replacement; valve explantation
• ISSN: 0886-0440; 1540-8191
• DOI: 10.1111/jocs.16260

Transcatheter aortic valve replacement (TAVR) has become the preferred intervention for patients with severe aortic stenosis and significant comorbidities. This technique can also be used for failed bioprosthetic valves and is known as the valve‐in‐valve (ViV) procedure. Placing TAVR in a small bioprosthesis (<23 mm) can lead to delayed dysfunction of the prosthetic valve. We present a case of a late explanted ViV 8 years post‐initial aortic valve replacement and coronary artery bypass grafting, and 3 years post‐ViV procedure in a 76‐year‐old female. A video of the surgical procedure is provided.