AI Article Synopsis
- Valve-in-valve (ViV) TAVI is a treatment option for patients with aortic bioprosthetic valve degeneration, but it carries a risk of coronary occlusion.
- The case presented involves using a double chimney technique to safeguard the coronary ostia during the procedure.
- After the initial valve placement, a "three-kissing balloon" approach was employed for post-dilation to reduce high residual transvalvular gradient.
Article Abstract
Valve-in-valve (ViV) transcatheter aortic valve implantation (TAVI) is an effective treatment for aortic bioprosthetic valve degeneration. ViV-TAVI could lead to coronary occlusion. We describe the case of a patient treated with double chimney technique to protect coronary ostia followed by post-dilation for high residual transvalvular gradient using "three-kissing balloon" approach. ().
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299846 | PMC |
| http://dx.doi.org/10.1016/j.jaccas.2020.08.031 | DOI Listing |
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