TAVI in complex situations - LIVE case

• Part 1: TAVI with the presence of a mechanical mitral valve.
  An 80-year-old female with a history of mechanical mitral valve (25 On-X in 2015) presents severe symptomatic AS with preserved LV function. The operators implant a 25 mm Navitor, with predilatation (18 mm balloon) on wire pacing (120/min).

• Part 2: JenaValve for treatment of aortic regurgitation.
  An 86-year-old male with diabetes, kidney disease, impaired LV function (35%) and dilated LV (300ml) with severe secondary MR and a severe AR. The operators implant a JenaValve with a very long sheath (reaches the ascending aorta) with a disappearance of AR and MR.

 
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Key moments

• 04:30 - 11:02 - CT analysis of the first case
• 36:57 - 40:20 - Explanation of why they do not perform a post-dilatation
• 41:10 - 44:00 - Closure with 1 angioseal 8F + 1 proglide
• 01:04:25 - 01:13:20 - Description and deployment of a JenaValve

Keywords: Navitor, JenaValve, Aortic regurgitation, femoral closure