Key result
Urgent TAV-in-TAV-in-homograft was performed to treat severe aortic regurgitation and cardiogenic shock in a patient with a previously failed transcatheter valve within a surgical homograft.
This case report describes the complex management of a patient requiring an urgent TAV-in-TAV procedure within a previously failed homograft due to severe aortic regurgitation and cardiogenic shock.
May inform select high-risk TAV-in-TAV cases; hypothesis-generating and should not yet change practice.
A 59-year-old male patient with history of rheumatic heart disease with 3 previous surgical aortic valve replacements with the last one being homograft followed by transcatheter aortic valve implantation in failed homograft presented with severe aortic regurgitation and cardiogenic shock requiring urgent TAV-in-TAV-in homograft. (Level of Difficulty: Advanced.)
No takes yet. Share an insight, caveat, or question.
Hatab et al. (2023) studied this question. Urgent TAV-in-TAV-in-homograft was performed to treat severe aortic regurgitation and cardiogenic shock in a patient with a previously failed transcatheter valve within a surgical homograft.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: