Degenerated bioprosthesis and Bentall surgery: how to track and position the valve with an angulated ascending aorta conduit?

Complex procedures, such as TAVI in patients with a degenerated bioprosthesis and a Bentall surgery history, demand meticulous planning. This case highlights the importance of computed tomography imaging to minimize procedural risks and explores the snare strategy for navigating anatomical constraints. Learn how this approach, adaptable to the left ventricle or descending aorta, ensures optimal prosthesis positioning while maintaining patient safety.

Authors

Hector Alfonso Alvarez Covarrubias

Interventional cardiologist / Cardiologist

Deutsches Herzzentrum Munchen - Munich, Germany

Tobias Andreas Rheude

Interventional cardiologist / Cardiologist

German Heart Centre Munich / Deutsches Herzzentrzum München - Munich, Germany

Michael Joner

Interventional cardiologist / Cardiologist

German Heart Centre Munich / Deutsches Herzzentrzum München - München, Germany