JACC: Case Reports (Apr 2021)

Bailout From Sinus Jailing

  • Matteo Casenghi, MD,
  • Omar A. Oliva, MD,
  • Mattia Squillace, MD,
  • Michele Bellamoli, MD,
  • Enrico Poletti, MD,
  • Antonio Popolo Rubbio, MD,
  • Luca Testa, MD, PhD,
  • Francesco Bedogni, MD,
  • Federico De Marco, MD, PhD

Journal volume & issue
Vol. 3, no. 4
pp. 678 – 681

Abstract

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Redo transcatheter aortic valve replacement (TAVR) may pose the risk of coronary flow obstruction. We report 2 cases of severe TAVR regurgitation due to different physiopathological mechanisms in which TAVR-in-TAVR could be at high risk for sinus sequestration. Both cases were successfully treated by in-series implantation of a second transcatheter heart valve, thus avoiding sinus sequestration. (Level of Difficulty: Intermediate.)

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