Key result
TAVI successfully treats severe aortic regurgitation after two failed aortic valve neocuspidization surgeries.
Why the study?
TAVI after aortic valve neocuspidization carries a high risk of coronary artery obstruction and is currently not recommended.
Demonstrates the feasibility of TAVI for severe aortic regurgitation following prior aortic valve neocuspidization, despite current recommendations against it due to coronary obstruction risk.
Answers are grounded in this paper and cite their sources.
Successful TAVI after neocuspidization may be feasible in select cases; leaves open individualized feasibility pending prospective data.
Transcatheter aortic valve implantation (TAVI) after aortic valve neocuspidization is associated with a high risk of coronary artery obstruction due to the height of the neocusps, and is currently not recommended. We report the case of a 74-year-old patient who had a successful procedure for severe regurgitation after two consecutive neocuspidization surgeries.
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Derom et al. (2026) studied this question. Transcatheter aortic valve implantation was successfully performed for severe regurgitation in a 74-year-old patient following two consecutive aortic valve neocuspidization surgeries.
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