BASILICA Procedure Prior to Valve-in-Valve TAVR in a Supra-Annular TAV Prosthesis

Anna Damlin, MD, PhD; Christopher Meduri, MD, PhD; Aristomenis Manouras, MD, PhD; Dinos Verouhis, MD, PhD; Rickard Linder, MD, PhD; Andreas Rück, MD, PhD; Magnus Settergren, MD, PhD

JACC: Case Reports (Apr 2023)

BASILICA Procedure Prior to Valve-in-Valve TAVR in a Supra-Annular TAV Prosthesis

Anna Damlin, MD, PhD,
Christopher Meduri, MD, PhD,
Aristomenis Manouras, MD, PhD,
Dinos Verouhis, MD, PhD,
Rickard Linder, MD, PhD,
Andreas Rück, MD, PhD,
Magnus Settergren, MD, PhD

Affiliations

Anna Damlin, MD, PhD: Department of Clinical Physiology, Karolinska University Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden; Address for correspondence: Dr Anna Damlin, Department of Clinical Physiology, Karolinska University Hospital, Eugeniavägen 3, A8:01, 171 76 Stockholm, Sweden.
Christopher Meduri, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden
Aristomenis Manouras, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Dinos Verouhis, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Rickard Linder, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Andreas Rück, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Magnus Settergren, MD, PhD: Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden; Unit of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden

Journal volume & issue: Vol. 11
p. 101777

Abstract

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An 80-year-old man with a supra-annular transcatheter aortic valve (TAV) prosthesis presented with severe transvalvular aortic regurgitation 18 months after the TAV replacement procedure. The authors report the first ever valve-in-valve procedure using BASILICA (bioprosthetic or native aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction) in such a supra-annular TAV prosthesis. Minimal paravalvular leakage, normal coronary artery flow, and easy coronary access were seen postimplantation. (Level of Difficulty: Advanced.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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