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Challenges in Valve-in-Valve Therapy for Aortic Valves

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Catheter Based Valve and Aortic Surgery

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Abstract

Transcatheter aortic valve replacement has recently established itself as the treatment of choice in inoperable and high-risk patients with aortic stenosis. Experience in this field has led to its usage for novel indications such as its use in the treatment of a degenerative biological surgical heart valves and is referred to as valve-in-valve (VIV). Early experience demonstrates that the procedure is not without risks. High residual gradients, coronary occlusion, embolization, and thrombosis have been reported. We aim to discuss relevant features of the different surgical and transcatheter devices and discuss the optimal strategy to avoid these complications after a VIV procedure.

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Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Guys and St. Thomas’ Hospital, 6th floor, East Wing, St. Thomas’ Hospital, London, SE1 7EH, UK

    Vinnie (Vinayak) Bapat MBBS, MS, FCRS, FRCSCTh & Rizwan Attia BMedSci, MBChB, MRCS, PhD

  2. Department of Cardiology, Guys and St. Thomas’ Hospital, Westminster Bridge Road, London, SE1 7EH, UK

    Waqar Aziz MB, BCh, BAO, MSc, MRCPI, MRCP

  3. Department of Cardiology, Guys and St. Thomas’ Hospital, Chorleywood Road, Rickmansworth, Herts, WD3 ER, UK

    Rahee Radia

  4. St. Thomas Hospital, Westminster Bridge Road, London, SE17EH, UK

    Francesco Prione MD

Authors
  1. Vinnie (Vinayak) Bapat MBBS, MS, FCRS, FRCSCTh
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  2. Rizwan Attia BMedSci, MBChB, MRCS, PhD
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  3. Waqar Aziz MB, BCh, BAO, MSc, MRCPI, MRCP
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  4. Rahee Radia
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  5. Francesco Prione MD
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Corresponding author

Correspondence to Vinnie (Vinayak) Bapat MBBS, MS, FCRS, FRCSCTh .

Editor information

Editors and Affiliations

  1. Department of Surgery, Advanced Cardiac Valve Center, Universit, Charlottesville, Virginia, USA

    Gorav Ailawadi

  2. Department of Surgery, University of Virginia, Charlottesville, Virginia, USA

    Irving L. Kron

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Bapat, V.(., Attia, R., Aziz, W., Radia, R., Prione, F. (2016). Challenges in Valve-in-Valve Therapy for Aortic Valves. In: Ailawadi, G., Kron, I. (eds) Catheter Based Valve and Aortic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3432-4_9

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  • DOI: https://doi.org/10.1007/978-1-4939-3432-4_9

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  • Print ISBN: 978-1-4939-3430-0

  • Online ISBN: 978-1-4939-3432-4

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