Transapical Off-Pump Valve-in-Valve Implantation in Patients With Degenerated Aortic Xenografts Jörg Kempfert, MD, Arnaud Van Linden, MD, Axel Linke,

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Transapical Off-Pump Valve-in-Valve Implantation in Patients With Degenerated Aortic Xenografts Jörg Kempfert, MD, Arnaud Van Linden, MD, Axel Linke, MD, PhD, Michael A. Borger, MD, PhD, Ardawan Rastan, MD, PhD, Chirojit Mukherjee, MD, Jörg Ender, MD, Gerhard Schuler, MD, PhD, Friedrich W. Mohr, MD, PhD, Thomas Walther, MD, PhD The Annals of Thoracic Surgery Volume 89, Issue 6, Pages 1934-1941 (June 2010) DOI: 10.1016/j.athoracsur.2010.02.061 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Valve-in-valve aortic: Sapien 23 in Perimount 21. (A) Orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Valve-in-valve aortic: Sapien 26 in Hancock 25. (A) Orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Valve-in-valve aortic: Sapien 23 in Mosaic 21. (A) orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Valve-in-valve aortic: Sapien 23 in Epic 21. (A) Orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Valve-in-valve aortic: Sapien 23 in Mitroflow 23. (A) Orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Valve-in-valve aortic: Sapien 26 in CE Porcine 25. (A) Orthogonal view before balloon valvuloplasty. (B) Valve positioning. (C) Final angiographic result. The Annals of Thoracic Surgery 2010 89, 1934-1941DOI: (10.1016/j.athoracsur.2010.02.061) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions