A challenging valve-in-valve scenario in a patient with prior aortic coarctation repair
This case features a 79-year-old patient with severe aortic stenosis and a degenerated surgical bioprosthesis, who previously underwent complex aortic surgery for coarctation.
Redo surgery was high-risk, so a transcatheter valve-in-valve procedure was chosen.
Explore the case to see how anatomy, prosthesis sizing, and vascular access options guide decision-making—and which access route you would select.
26 Jan 2026
A challenging valve-in-valve scenario in a patient with prior aortic coarctation repair
This case features a 79-year-old patient with severe aortic stenosis and a degenerated surgical bioprosthesis, who previously underwent complex aortic surgery for coarctation.
Redo surgery was high-risk, so a transcatheter valve-in-valve procedure was chosen.
Explore the case to see how anatomy, prosthesis sizing, and vascular access options guide decision-making—and which access route you would select.
Authors
Cardiac surgeon
Federal University of Rio Grande do Sul, Hospital Mãe de Deus - Porto Alegre, Brazil
Cardiac surgeon
Hospital de Clínicas de Porto Alegre, Hospital Mãe de Deus - Porto Alegre, Brazil
Cardiac surgeon
Hospital de Clínicas de Porto Alegre, Hospital Mãe de Deus - Porto Alegre, Brazil
Cardiac Surgeon
Hospital de Clínicas de Porto Alegre - Porto Alegre, Brazil
Imaging Specialist
Hospital Mãe de Deus - Porto Alegre, Brazil
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26 Nov 2025