Transapical aortic valve-in-valve-in-valve implantation as a procedural rescue option

Joerg Kempfert, Felix Girrbach, Martin Haensig, Sreekumar Subramanian, David Michael Holzhey, Friedrich Wilhelm Mohr

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Device malposition and dysfunction with resultant severe aortic insufficiency are known complications of transcatheter aortic valve implantation (TAVI). Fortunately, these complications can often be successfully treated with a transcatheter valve-in-valve (VinV) implantation. However, prosthetic leaflet dysfunction or immobility from the VinV configuration can lead to severe central aortic insufficiency. We report the first known case of implantation of a third SAPIEN prosthesis (Edwards Lifesciences, Irvine, CA) during TAVI as a valuable bailout strategy to deal with severe aortic insufficiency after VinV implantation.

Original languageEnglish (US)
Pages (from-to)325-328
Number of pages4
JournalAnnals of Thoracic Surgery
Issue number1
StatePublished - Jan 2013
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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