Key result
Transcatheter aortic valve-in-valve replacement was successfully performed in a 30-year-old patient with Fontan physiology and severe bioprosthetic aortic valve stenosis.
Transcatheter aortic valve-in-valve procedures can be successfully planned and executed even in highly complex patients with single ventricle (Fontan) physiology.
We present a case of a 30-year-old patient with Fontan physiology and prior bioprosthetic valve replacement who developed severe bioprosthetic aortic valve stenosis. We describe the challenges and planning involved to successfully perform a transcatheter aortic valve-in-valve procedure in this especially complex subset of patients. (Level of Difficulty: Advanced.)
No takes yet. Share an insight, caveat, or question.
Muñoz et al. (2022) studied this question. Transcatheter aortic valve-in-valve replacement was successfully performed in a 30-year-old patient with Fontan physiology and severe bioprosthetic aortic valve stenosis.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: