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Transcatheter Aortic Valve-in-Valve Implantation for Patients With Degenerative Surgical Bioprosthetic Valves  Danny Dvir, MD, Marco Barbanti, MD, John.

Published byMarcus Carroll Modified over 6 years ago

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Presentation on theme: "Transcatheter Aortic Valve-in-Valve Implantation for Patients With Degenerative Surgical Bioprosthetic Valves  Danny Dvir, MD, Marco Barbanti, MD, John."— Presentation transcript:

1 Transcatheter Aortic Valve-in-Valve Implantation for Patients With Degenerative Surgical Bioprosthetic Valves  Danny Dvir, MD, Marco Barbanti, MD, John Tan, MBBS, FRACP, John G. Webb, MD  Current Problems in Cardiology  Volume 39, Issue 1, Pages 7-27 (January 2014) DOI: /j.cpcardiol Copyright © 2014 Elsevier B.V. Terms and Conditions

2 FIG 1 Dimensions of stented bioprosthetic valves. Labeled valve size generally corresponds to the outer diameter. For valve-in-valve procedures, the internal diameter is more relevant. Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

3 FIG 2 Common stented bioprosthetic surgical valves.
Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

4 FIG 3 Common stentless bioprosthetic surgical valves.
Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

5 FIG 4 Valve-in-valve procedures. (A) An Edwards SAPIEN (Edwards Lifesciences) device implanted inside a Perimount surgical valve (Edwards). (B) A CoreValve device (Medtronic) implanted inside a Mitroflow surgical valve (Sorin). Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

6 FIG 5 Malpositioning during a valve-in-valve procedure.
Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

7 FIG 6 Fluoroscopic images of common stented bioprosthetic valves. (A) Perimount (Edwards Lifesciences). (B) Carpentier-Edwards porcine (Edwards Lifesciences). (C) Mitroflow (Sorin). (D) Mosaic (Medtronic). The small fluoroscopic circles are located on the top of the struts. The sewing ring is not radiopaque. (E) Epic (St. Jude Medical). Only minimally visible fluoroscopic markers. (F) Trifecta (St. Jude Medical). Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

8 FIG 7 Coronary obstruction following aortic valve-in-valve procedure.
Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

9 FIG 8 Severe stenosis after valve-in-valve implantation. An Edwards SAPIEN XT 23-mm valve implanted in a 21-mm (reported internal diameter 17.3mm) Mitroflow (Sorin), resulting in severe stenosis with a mean gradient of 48mmHg. Current Problems in Cardiology  , 7-27DOI: ( /j.cpcardiol ) Copyright © 2014 Elsevier B.V. Terms and Conditions

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