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J Thorac Cardiovasc Surg 2009;138:1018-1020
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Minimally invasive transapical aortic valve-in-a-valve implantation for severe aortic regurgitation in a degenerated stentless bioprosthesis

Thessaloniki Heart Institute, St Luke's Hospital, Thessaloniki, Greece

Received for publication March 21, 2009; accepted for publication May 17, 2009.

^_* Address for reprints: Timotheos G. Kelpis, MD, Vas. Olgas 149, 54645, Thessaloniki, Greece. (Email: tkelpis@yahoo.com).

The first 20% of the full text of this article appears below.

	Introduction

 
Transcatheter aortic valve implantation for treatment of patients with severe symptomatic aortic stenosis and high surgical risk has been well described. We report on the first minimally invasive transapical aortic valve-in-a-valve (VinV) implantation for severe aortic regurgitation in a degenerated stentless bioprosthesis (Toronto stentless porcine valve [SPV]; St Jude Medical, Inc, St Paul, Minn) using the Edwards SAPIEN transcatheter heart valve (THV) (Edwards Lifesciences, Irvine, Calif).

Transcatheter aortic valve replacement constitutes a safe, feasible, and effective technique in patients with severe symptomatic aortic stenosis and high surgical risk for conventional aortic valve replacement.¹ Ever since its introduction by Cribier and colleagues,² it has been used to treat degenerative calcific stenosis of the native aortic valve in selected patients.³ Transcatheter aortic valve deployment in failed, surgically implanted, stented aortic bioprostheses has been described with encouraging initial results.^4,5 We report on the first transapical transcatheter VinV procedure for the treatment of severe aortic regurgitation in a degenerated stentless bioprosthesis using the Edwards SAPIEN THV.

	Clinical Summary

 
An 80-year-old male patient presented with symptomatic (New York Heart Association . . . [Full Text of this Article]

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