Transcatheter options for degenerated surgical aortic valves - LIVE case

A 77-year-old male with a history of SAVR in 2011 (Magna Ease 23) and moderate chronic kidney disease, with preservedLV function, presented with symptomatic severe aortic regurgitation and stenosis, associated with severe MR.

A Sapien 3 Ultra Resilia 23 valve was implanted under local anesthesia, with hemodynamic and TTE monitoring and temporary pace maker via left femoral venous access. Before crossing the surgical valve, the operators inflated the balloon with an additional 1 cc. They closed the right femoral access using a ProGlide device.

LIVE Educational Case from Keio University Hospital - Tokyo, Japan

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Key moments

• 6:15-9:6 - CT analysis
• 33:48-39:53 - TAVI implantation
• 56:29-1:16:33 - Procedural analysis

Keywords: Valve in valve, Sapien3 ultra resilia, femoral closure