Direct access valve-in-valve implantation for management of complex valvulopathy

Abstract

The management of bioprosthetic structural valve degeneration requires complex surgical or transcatheter re-intervention for which many high-risk patients are not considered candidates. Here, we describe a technique for a direct surgical access valve-in-valve implantation in patients with complex bioprosthetic valvulopathy for whom standard surgical valve replacement and percutaneous interventions were high-risk and contraindicated, respectively.

Keywords: aortic valve disease (AVD); interventional devices/innovation (IDI); mitral valve disease (MVD); structural heart disease intervention (SHDI); surgery; transcatheter valve implantation (TVI); valvular (SVAL).