JACC: Case Reports (Nov 2020)

Combination of Double Chimney Technique and Prosthesis Post-Dilation After Valve-in-Valve Implantation

  • Alfredo Fede, MD,
  • Michele Romano, MD,
  • Francesca Buffoli, MD,
  • Nicola Camurri, MD,
  • Corrado Lettieri, MD

Journal volume & issue
Vol. 2, no. 14
pp. 2173 – 2175

Abstract

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Valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) is an effective treatment for aortic bioprosthetic valve degeneration. ViV-TAVI could lead to coronary occlusion. We describe the case of a patient treated with double chimney technique to protect coronary ostia followed by post-dilation for high residual transvalvular gradient using “three-kissing balloon” approach. (Level of Difficulty: Advanced.)

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