title: Severe Valvular Regurgitation: An Unexpected Complication During Transapical Aortic Valve Implantation Treated Successfully with the "Valve-in-Valve" Procedure.
abstract: Severe symptomatic aortic stenosis (AS) in a multimorbid 77 year old female was treated with transapical aortic valve implantation with a 23 mm Edwards Sapien valve. Severe valvular regurgitation following implantation, probably due to structural valve failure, was treated successfully with a second valve-in-valve implantation. During a follow-up time of 2,5 years no further problems occurred.
authors.affiliation: Department of Cardiology and Angiology, JL-University of Giessen, Giessen, Germany.
authors.forename: Kamil Mehmet
authors.initials: KM
authors.lastname: Burgazlı
authors.affiliation: Department of Internal Medicine and Angiology, Medical and Research Center Wuppertal, Wuppertal, Germany.
authors.forename: Ethem
authors.initials: E
authors.lastname: Kavukcu
authors.affiliation: Department of Cardiology and Angiology, JL-University of Giessen, Giessen, Germany.
authors.forename: Ridvan
authors.initials: R
authors.lastname: Chasan
authors.affiliation: Department of Radiology, Faculty of Medicine, Bezmialem Vakıf University, İstanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Bilgin
authors.affiliation: Department of Cardiology and Angiology, JL-University of Giessen, Giessen, Germany.
authors.forename: Ali
authors.initials: A
authors.lastname: Erdoğan
keywords: TAVI; aortic regurgitation; complication