Transcatheter aortic valve-in-ring implantation after aortic valve repair and annuloplasty

Figures

• 

  Deployment of a self-expandable transcatheter valve within an aortic annuloplasty ring.

• 

  Figure 1. Preoperative CT angiography images. The preoperative CT images show the HAART 19-mm internal aortic annuloplasty sitting in a subannular plane, below where annulus/sinus measurements would be taken for transcatheter valve sizing. CT, Computed tomography.

• 

  Figure 2. Self-expanding valve seated within the aortic annuloplasty ring. In coplanar view, the self-expanding valve commissural markers are placed just below the annular plane to ensure an implantation depth of approximately 3 mm. The red dot represents the noncoronary cusp commissural marker, the yellow dot represents the right coronary cusp commissural marker, the blue dot represents the left coronary cusp commissural marker, and the white line in right image represents the enhanced aortic annuloplasty ring. SE, Self-expanding; AV, aortic valve; TV, tricuspid valve; MV, mitral valve; ViR, valve-in-ring.