A 79-year-old patient previously treated with surgical aortic valve replacement was referred after an episode of acute cardiac decompensation. Although clinically stabilised, further evaluation revealed degeneration of the bioprosthesis, and mixed aortic valve pathology.
This case focuses on the diagnostic assessment and the strategic considerations guiding the choice of an interventional valve-in-valve approach in a challenging anatomy.
23 Dec 2025
When a surgical valve needs a second life
A 79-year-old patient previously treated with surgical aortic valve replacement was referred after an episode of acute cardiac decompensation. Although clinically stabilised, further evaluation revealed degeneration of the bioprosthesis, and mixed aortic valve pathology.
This case focuses on the diagnostic assessment and the strategic considerations guiding the choice of an interventional valve-in-valve approach in a challenging anatomy.
Author
Interventional cardiologist / Cardiologist
Dortmund, Germany
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