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December 22, 2024Cureus1 citationsOpen Access

Management of Surgical Aortic Valve Replacement Degeneration With Transcatheter Aortic Valve Implantation (TAVI in SAVR): Experience in Nicaragua

Why the study?

Does transcatheter aortic valve implantation in a surgical aortic valve improve symptoms and hemodynamics in a patient with bioprosthetic valve degeneration?

Population

1 76-year-old male with a history of stage III hypertension, compensated type 2 diabetes, and aortic valve…

Design

Case_report

Follow-up

1 month

Key result

Transcatheter aortic valve implantation within a degenerated surgical aortic valve successfully alleviated dyspnea and improved cardiac function in a 76-year-old male.

Authors

ÁMÁlvaro MoralesMVMario VegaCRChristopher Romero

Discussion

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Member takes

Overview

Supports valve-in-valve TAVI feasibility in high-risk bioprosthetic failure; leaves open durability and outcomes questions pending higher-level evidence.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

Does transcatheter aortic valve implantation in a surgical aortic valve improve symptoms and hemodynamics in a patient with bioprosthetic valve degeneration?

P
Population
A 76-year-old male with severe aortic stenosis due to bioprosthetic surgical aortic valve degeneration, treated with TAVI in SAVR and followed for 1 month.
I
Intervention
Transcatheter aortic valve implantation in surgical aortic valve (TAVI in SAVR) via transfemoral route using a 21.5 mm MyVal balloon-expandable valve.
O
Outcome
Improvement in dyspnea (NYHA class) and echocardiographic transvalvular gradient at 1-month follow-up.surrogate

Transcatheter aortic valve implantation within a degenerated surgical bioprosthesis is a feasible and effective minimally invasive treatment option that improves symptoms and hemodynamics, even in resource-limited settings.

Limitations

  • Single case report
  • Short follow-up duration
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Cite This Study

Morales et al. (2024) conducted a case report in Severe aortic valve stenosis (bioprosthetic valve degeneration) (n=1). Transcatheter aortic valve implantation (TAVI in SAVR) was evaluated on Clinical and echocardiographic improvement. Transcatheter aortic valve implantation within a degenerated surgical aortic valve successfully alleviated dyspnea and improved cardiac function in a 76-year-old male.

synapsesocial.com/papers/6a9330c226376c74732058b1https://doi.org/10.7759/cureus.76195
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Successful TAVI-in-TAVI for degenerated bioprosthetic aortic valve with severe stenosis-a case report2024
  2. 2Transcatheter aortic valve implantation for severe regurgitation in native and degenerated bioprosthetic aortic valves2012 · 24 citations
  3. 3Long term management of aortic stenosis (surgery and transcatheter options in young patients): a case report of valve-in-valve transcatheter aortic valve implantation2025
  4. 4Balloon Expandable Transcatheter Aortic Valve Implantation in Failing Self-Expandable Transcatheter Valve in Degenerated Surgical Bioprosthesis: Valve-in-Valve-in-Valve Implantation for the Treatment of Early Degenerative Prosthetic Insufficiency2021
  5. 5Transcatheter Aortic Valve Replacement2017 · 4 citations