22 May 2025
TAVI for bioprosthetic valve failure - LIVE Case
TAV-in-TAV for early degenerated TAVI
Operators:
P. Garot, T. Hovasse
Procedural Analyst:
S. Dawkins
Summary
A 68-year-old male patient with a history of Sapien 3 26 mm TAVI (2021), complicated by the need for two valves (one displaced in the descending aorta) and permanent pacemaker implantation, as well as endocarditis (2022), presented with symptomatic bioprosthesis failure and reduced LV function (20 %).
A 29 mm Evolut FX+ valve was successfully implanted, using two femoral accesses and wire simulation followed by post-dilatation.
LIVE Educational Case from Institut Cardiovasculaire Paris Sud - Massy, France
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Key moments
- 07:58-12:27 - Procedural analysis
- 26:11-36:40 - Deployment of the valve
- 39:14-:42:13 - Post-dilatation
- 56:52-1:04:00 - Closure access
Keywords: TAV-in-TAV - Evolut FX+ - Post-dilatation - Closure access
Learning Objectives
- To plan TAV in TAV effectively
- To achieve optimal valve positioning for best haemodinamics
- To understand commisural alignment for coronary access
