[Skip to Content]
[Skip to Content Landing]

Transcatheter Aortic Valve-in-Valve Procedure After Bioprosthetic Valve Failure

Bioprosthetic aortic valve failure occurs in approximately 50% to 60% of patients at 15 years after surgery. With the valve-in-valve procedure, a transcatheter aortic valve is implanted inside a bioprosthetic valve, allowing a patient to avoid repeat sternotomy.

In this video, preprocedural invasive simultaneous left ventricular and aortic pressure tracings demonstrate an elevated transvalvular gradient consistent with severe bioprosthetic aortic stenosis, and a baseline aortogram confirms a failing stenotic bioprosthetic aortic valve (arrowhead)(A).

Postprocedural simultaneous left ventricular and aortic pressure tracings and aortogram confirm a reduction in the transvalvular gradient and self-expanded transcatheter valve in previous surgical bioprosthetic valve (arrowhead) with no aortic regurgitation (B).

Click the Related Article link for a complete review of the procedure.

JN Learning™ is the home for CME and MOC from the JAMA Network. Search by specialty or US state and earn AMA PRA Category 1 Credit(s)™ from articles, audio, Clinical Challenges and more. Learn more about CME/MOC

Close
Close

Name Your Search

Save Search
Close
Close

Lookup An Activity

or

My Saved Searches

You currently have no searches saved.

Close

My Saved Courses

You currently have no courses saved.

Close