A case of aortic Valve-in-Valve with the guidance of 3-dimensional printing

An 84-year-old woman with severe aortic stenosis, low EF, and multiple comorbidities underwent transfemoral TAVI after heart team evaluation. CT guided sizing and revealed heavy asymmetric calcification; a first-gen Accurate Neo valve was implanted. Post-procedure, symptoms and gradients improved, with sustained stability >1 year. Case highlights the value of CT planning, heart team decision-making, and TAVI as a safe, effective option for elderly high-risk patients.