A 74-year-old man presented with failure of a bioprosthetic aortic valve implanted 7 years earlier, with a mean gradient of 44 mm Hg across the aortic valve. During valve-in-valve transcatheter aortic valve replacement, we came across an unusual complication of strut inversion at the lower end of the valve. ().

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9044293PMC
http://dx.doi.org/10.1016/j.jaccas.2021.12.015DOI Listing

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