Journal
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
Volume 58, Issue 21, Pages 2196-2209Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2011.09.009
Keywords
failed surgical bioprosthesis; transcatheter aortic valve implantation; valve-in-valve
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When bioprosthetic cardiac valves fail, reoperative valve replacement carries a higher risk of morbidity and mortality compared with initial valve replacement. Transcatheter heart valve implantation may be a viable alternative to surgical aortic valve replacement for high-risk patients with native aortic stenosis, and valve-in-valve (V-in-V) implantation has been successfully performed for failed surgical bioprostheses in the aortic, mitral, pulmonic, and tricuspid positions. Despite some core similarities to transcatheter therapy of native valve disease, V-in-V therapy poses unique clinical and anatomic challenges. In this paper, we review the challenges, selection criteria, techniques, and outcomes of V-in-V implantation. (J Am Coll Cardiol 2011;58:2196-209) (C) 2011 by the American College of Cardiology Foundation
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