Details

Autor(en) / Beteiligte

• Gurvitch, Ronen, MBBS
• Cheung, Anson, MD
• Ye, Jian, MD
• Wood, David A., MD
• Willson, Alexander B., MBBS
• Toggweiler, Stefan, MD
• Binder, Ronald, MD
• Webb, John G., MD

Titel

Transcatheter Valve-in-Valve Implantation for Failed Surgical Bioprosthetic Valves

Ist Teil von

• Journal of the American College of Cardiology, 2011-11, Vol.58 (21), p.2196-2209

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2011

Quelle

MEDLINE

Beschreibungen/Notizen

• When bioprosthetic cardiac valves fail, reoperative valve replacement carries a higher risk of morbidity and mortality compared with initial valve replacement. Transcatheter heart valve implantation may be a viable alternative to surgical aortic valve replacement for high-risk patients with native aortic stenosis, and valve-in-valve (V-in-V) implantation has been successfully performed for failed surgical bioprostheses in the aortic, mitral, pulmonic, and tricuspid positions. Despite some core similarities to transcatheter therapy of native valve disease, V-in-V therapy poses unique clinical and anatomic challenges. In this paper, we review the challenges, selection criteria, techniques, and outcomes of V-in-V implantation.