title: Transcatheter aortic valve implantation complicated by acute structural valve failure requiring immediate valve in valve implantation.
abstract: The first percutaneous transcatheter aortic valve implantation (TAVI) was performed in 2002 by Alain Cribier with over 10,000 valve implants since. Despite this, as with all new technologies we remain on a learning curve and continue to encounter new challenges and complications. We report a case of acute structural valve failure treated successfully with a second valve in valve implantation of transcatheter aortic valve in a patient who had severe aortic stenosis (AS) complicated by a severely unfolded aorta.
authors.affiliation: Division of Cardiology, Waikato hospital, Hamilton, New Zealand. drspasupati@gmail.com
authors.forename: Sanjeevan
authors.initials: S
authors.lastname: Pasupati
authors.forename: Aniket
authors.initials: A
authors.lastname: Puri
authors.forename: Gerry
authors.initials: G
authors.lastname: Devlin
authors.forename: Raewyn
authors.initials: R
authors.lastname: Fisher
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D013997:Time Factors; D014463:Ultrasonography