Heart, Lung and Circulation
How-to-do-it| Volume 19, ISSUE 10, P611-614, October 2010

Download started.


Transcatheter Aortic Valve Implantation Complicated By Acute Structural Valve Failure Requiring Immediate Valve In Valve Implantation


      The first percutaneous transcatheter aortic valve implantation (TAVI) was performed in 2002 by Alain Cribier with over 10,000 valve implants since. Despite this, as with all new technologies we remain on a learning curve and continue to encounter new challenges and complications. We report a case of acute structural valve failure treated successfully with a second valve in valve implantation of transcatheter aortic valve in a patient who had severe aortic stenosis (AS) complicated by a severely unfolded aorta.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Heart, Lung and Circulation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Webb J.G.
        • Chandavimol M.
        • Thompson C.R.
        • Ricci D.R.
        • Carere R.G.
        • Munt B.I.
        • Buller C.E.
        • Pasupati S.
        • Lichtenstein S.
        Percutaneous aortic valve implantation retrograde from the femoral artery.
        Circulation. 2006; 113: 842-850
        • Piazza N.
        • Schultz C.
        • de Jaegere P.P.
        • Serruys P.W.
        Implantation of two self-expanding aortic bioprosthetic valves during the same procedure-Insights into valve-in-valve implantation (“Russian doll concept”).
        Catheter Cardiovasc Interv. 2009; 73: 530-539
      1. Ducrocq G, Francis F, Serfaty JM, Himbert D, Maury JM, Pasi N, Marouene S, Provenchere S, Iung B, Castier Y, Leseche G, Vahanian A. Vascular complications of transfemoral aortic valve implantation with the Edwards SAPIEN prosthesis: incidence and impact on outcome. EuroIntervention;5(6):666-72.

      2. Van Mieghem NM, Nuis RJ, Piazza N, Apostolos T, Ligthart J, Schultz C, de Jaegere PP, Serruys PW. Vascular complications with transcatheter aortic valve implantation using the 18 Fr Medtronic CoreValve System(R): the Rotterdam experience. EuroIntervention; 5(6):673-9.

      3. Sinhal A, Altwegg L, Pasupati S, Humphries KH, Allard M, Martin P, Cheung A, Ye J, Kerr C, Lichtenstein SV, Webb JG. Atrioventricular block after transcatheter balloon expandable aortic valve implantation. JACC Cardiovasc Interv 2008; 1(3):305-9.

        • Webb J.G.
        • Pasupati S.
        • Achtem L.
        • Thompson C.R.
        Rapid pacing to facilitate transcatheter prosthetic heart valve implantation.
        Catheter Cardiovasc Interv. 2006; 68: 199-204
      4. Grube E, Schuler G, Buellesfeld L, Gerckens U, Linke A, Wenaweser P, Sauren B, Mohr FW, Walther T, Zickmann B, Iversen S, Felderhoff T, Cartier R, Bonan R. Percutaneous aortic valve replacement for severe aortic stenosis in high-risk patients using the second- and current third-generation self-expanding CoreValve prosthesis: device success and 30-day clinical outcome. J Am Coll Cardiol 2007; 50(1):69-76.

        • Masson J.B.
        • Kovac J.
        • Schuler G.
        • Ye J.
        • Cheung A.
        • Kapadia S.
        • Tuzcu M.E.
        • Kodali S.
        • Leon M.B.
        • Webb J.G.
        Transcatheter aortic valve implantation: review of the nature, management, and avoidance of procedural complications.
        JACC Cardiovasc Interv. 2009; 2: 811-820
      5. Webb JG, Pasupati S, Humphries K, Thompson C, Altwegg L, Moss R, Sinhal A, Carere RG, Munt B, Ricci D, Ye J, Cheung A, Lichtenstein SV. Percutaneous transarterial aortic valve replacement in selected high-risk patients with aortic stenosis. Circulation 2007; 116(7):755-63.

      Supplementary data