14 Feb 2026
Mitral and aortic transcatheter valve-in-valve intervention - LIVE case
Transcatheter mitral valve-in-valve and aortic Tav-in-Tav intervention
Summary
Live case
An 83-year-old male with AF, CKD (stage 3A), preserved LV function, and a history of AVR (27 mm Magna Ease) and MVR (33 mm Magna) in 2014 presented with symptomatic stenosis of the mitral bioprosthesis. A Sapien 3 valve was implanted in the Magna mitral valve.
Recorded case
An 85-year-old woman with a bicuspid aortic valve (type 1) treated with a Sapien 3 23 mm in 2015 presented with symptomatic bioprosthetic valve stenosis. A Sapien 3 Resilia Ultra 23 mm valve was implanted.
LIVE Educational Case from The Prince Charles Hospital, Metro North Health - Brisbane, Australia
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Key moments
- 7:43–10:57 – Imaging analysis
- 24:57–30:33 – Transseptal puncture
- 33:18–34:28 – Banding of Safari wire
- 34:38–37:30 – Septum and valve dilatation
- 40:14–50:38 – Valve deployment
- 1:09:55–1:13:55 – Procedural analysis
- 1:16:10–1:22:25 – TAV-in-TAV implantation (recorded case)
Keywords: TMVR, Tav-in-Tav, Sapien 3, Sapien 3 Ultra resilia, Transseptal puncture
Learning Objectives
- To learn about the anatomical challenges associated with transcatheter valve-in-valve procedures
- To appreciate the essential role of the pre-procedural CT scan
- To understand how careful preparation and planning can prevent important life-threatening complications and ensure good long-term clinical outcomes
