A case of THV-in-THV

As transcatheter aortic valve replacement (TAVR) indication is moving towards younger patients with longer life expectancy, transcatheter aortic valve (TAV) degeneration will be increasingly common. In this setting, TAVR-in-TAVR seems an appealing alternative to conventional surgery. Thus, in the near future interventional cardiologists will face ever more often this type of procedure. Yet, redo-TAVR carries particular challenges in both pre-procedural planning and intra-procedural steps, which the operator needs to master in order to ensure optimal patient outcome. 

In these videos, we will guide the viewer with a step-by-step approach through the pre-procedural planning and the intra-procedural aspects of a redo-TAVR procedure for the treatment of a degenerated supra-annular transcatheter bioprosthesis.