title: Management of aortic valve dysfunction after transapical approach using the technique "valve after valve".
abstract: We report a case of a 77-year-old patient with severe aortic stenosis who underwent transapical aortic valve implantation with a 23-mm Edwards Sapien valve (Edwards Lifesciences Inc, Irvine CA). This procedure was complicated with the occurrence of an acute regurgitation due to entrapment of one of the leaflets that was successfully managed by valve after valve technique.
authors.affiliation: Cardiovascular Surgery Department, Virgen Macarena University Hospital, Sevilla, Spain. demirandab@yahoo.es
authors.forename: Nuria
authors.initials: N
authors.lastname: Miranda-Balbuena
authors.forename: Omar A
authors.initials: OA
authors.lastname: Araji
authors.forename: Maria Ángeles
authors.initials: MÁ
authors.lastname: Gutierrez-Martín
authors.forename: Emiliano A
authors.initials: EA
authors.lastname: Rodriguez-Caulo
authors.forename: Jose Miguel
authors.initials: JM
authors.lastname: Barquero
authors.forename: Antonio
authors.initials: A
authors.lastname: Fernandez
mesh_terms: D000208:Acute Disease; D000368:Aged; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery*; D006328:Cardiac Catheterization; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D012086:Reoperation / Q000379:methods*