Romanian Journal of Cardiology (Sep 2024)

Successful TAVI-in-TAVI for degenerated bioprosthetic aortic valve with severe stenosis-a case report

  • Apostu Alexandra,
  • Deleanu Dan,
  • Parasca Cătălina,
  • Capșa Răzvan,
  • Dobrovie Monica,
  • Popescu Bogdan Alexandru,
  • Chioncel Ovidiu,
  • Iliescu Vlad Anton,
  • Jurcuţ Ruxandra

DOI
https://doi.org/10.2478/rjc-2024-0017
Journal volume & issue
Vol. 34, no. 3
pp. 144 – 149

Abstract

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Aortic stenosis is one of the leading causes of valvular disease requiring surgery or transcatheter intervention, with a rising prevalence due to the aging population. Current guidelines recommend transcatheter aortic valve implantation (TAVI) as the first-line treatment for patients with symptomatic severe aortic stenosis and high surgical risk. The indications for TAVI have expanded to low-surgical-risk patients due to increased operator experience and improved implanted devices with a dramatic reduction of complications. Considering the limited durability of bioprostheses, TAVI-in-TAVI procedures have been successfully performed as an alternative to surgery.

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