title: Transfemoral Valve-in-Valve Transcatheter Aortic Valve Implantation (TAVI) in a Patient With Previous Endovascular Aortic Repair (EVAR).
abstract: A 90-year-old man presented with increasing exertional breathlessness. He had previous implantation of a Perimount bioprosthetic aortic valve (Edwards Lifesciences) and coronary artery bypass graft surgery. Due to severe transvalvular bioprosthetic regurgitation with preserved left ventricular dimensions and ejection fraction, the heart team decided on valve-in- valve transcatheter aortic valve implantation via the transfemoral route in view of the patient's prohibitively high surgical and anesthetic risk. The patient had an uncomplicated recovery and was symptomatically much improved at 3-month follow-up.
authors.affiliation: Department of Cardiology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, Du Cane Road, London, W12 0HS, United Kingdom. neil.ruparelia@gmail.com.
authors.forename: Neil
authors.initials: N
authors.lastname: Ruparelia
authors.forename: Vasileios F
authors.initials: VF
authors.lastname: Panoulas
authors.forename: Angela
authors.initials: A
authors.lastname: Frame
authors.forename: Anthony W
authors.initials: AW
authors.lastname: Nathan
authors.forename: Ben
authors.initials: B
authors.lastname: Ariff
authors.forename: Usman
authors.initials: U
authors.lastname: Jaffer
authors.forename: Nilesh
authors.initials: N
authors.lastname: Sutaria
authors.forename: Andrew
authors.initials: A
authors.lastname: Chukwuemeka
authors.forename: Ghada W
authors.initials: GW
authors.lastname: Mikhail
authors.forename: Iqbal S
authors.initials: IS
authors.lastname: Malik
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000601:surgery*; D001705:Bioprosthesis / Q000009:adverse effects; D062905:Central Venous Catheters; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D020379:Risk Adjustment / Q000379:methods; D065467:Transcatheter Aortic Valve Replacement / Q000379:methods*; D016896:Treatment Outcome