Transcatheter aortic valve implantation is an alternative to conventional aortic valve replacement for patients at high surgical risk, with favorable procedural outcomes. Aortic regurgitation remains an off-label indication. Recent case reports describe the successful use of a second CoreValve inside a malpositioned first CoreValve. In the current case, we report for the first time a valve-in-valve procedure for the treatment of a severely insufficient CoreValve prosthesis using the Edwards-Sapien prosthesis.
Copyright 2009 Wiley-Liss, Inc.