An 83-year-old high-risk gentleman diagnosed with severe symptomatic aortic stenosis was scheduled for TAVR. A 31 mm CoreValve was implanted but severe paravalvular leak was noted. A valve-in-valve procedure was performed. However, the valve frame was partially dislodged into de ascending aorta. We report our strategy to solve this severe leak after a failed valve-in-valve procedure.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5497244PMC
http://dx.doi.org/10.1016/j.ijcha.2015.02.006DOI Listing

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