March 1, 2015Open Access
In the era of the valve-in-valve: is transcatheter aortic valve implantation (TAVI) in sutureless valves feasible?
Key result
Transcatheter aortic valve-in-valve implantation using a balloon-expandable valve successfully resolved severe paravalvular leakage in a self-expanding sutureless valve.
Why the study?
Is transcatheter aortic valve implantation (TAVI) feasible in leaking sutureless valves?
Population
1 patient with a leaking sutureless self-expandable aortic valve
Design
Case_report
Authors
Discussion
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Member takes
Implication
Feasibility suggested in this case of valve-in-valve TAVI for sutureless valve leak; hypothesis-generating and requires prospective validation.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
Is transcatheter aortic valve implantation (TAVI) feasible in leaking sutureless valves?
P
Population
An 80-year-old frail woman with severe aortic stenosis who developed severe aortic regurgitation after sutureless aortic valve replacement and was treated with a transcatheter valve-in-valve procedure.
I
Intervention
Trans-femoral implant of a balloon expandable aortic valve (transcatheter aortic valve-in-valve implantation)
O
Outcome
Feasibility of transcatheter aortic valve-in-valve implantation in a sutureless valve
Demonstrates the initial feasibility of performing transcatheter valve-in-valve implantation for a failing sutureless aortic valve.
Limitations
- Single case report
- Cause of stent infolding remains unknown
- Short follow-up duration
Cite This Study
Eusanio et al. (2015) conducted a case report in Severe aortic stenosis with subsequent leaking sutureless aortic valve (n=1). Transcatheter aortic valve-in-valve implantation (TAVI) was evaluated on Resolution of valvular leak and pressure gradients. Transcatheter aortic valve-in-valve implantation using a balloon-expandable valve successfully resolved severe paravalvular leakage in a self-expanding sutureless valve.