[Valve-in-valve with Portico valve for a degenerative bioprosthetic surgical valve (Biocor)].
In the last years, a general shift toward the use of surgical bioprosthetic aortic valves rather than mechanical valves with subsequent less use of anticoagulant therapy has been observed. However, bioprosthetic valves have limited durability. Reoperation, the current standard of care for these patients, carries a high surgical risk, especially because patients are elderly and with numerous comorbidities. Recently, transcatheter aortic valve replacement within a failed bioprosthetic valve (valve-in-valve procedure) has proven feasible. We here describe a case of valve-in-valve procedure with a Portico valve placed in a purely insufficient bioprosthetic valve (Biocor).
Cardiologia Interventistica, A.O. Fatebenefratelli e Oftalmico, Milano.
Roberto Adriano
RA
Latini
Dipartimento di Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese (MI).
Luca
L
Testa
Dipartimento di Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese (MI).
Nedy
N
Brambilla
Dipartimento di Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese (MI).
Maurizio
M
Tusa
Dipartimento di Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese (MI).
Francesco
F
Bedogni
D000369:Aged, 80 and over; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D001705:Bioprosthesis; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D012086:Reoperation