Journal of Perioperative Echocardiography

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VOLUME 9 , ISSUE 1 ( January-June, 2021 ) > List of Articles


Troubleshooting Valve-in-valve Transcatheter Aortic Valve Replacement with Transesophageal Echocardiography: Case Report

Sujitha R Karri, Rajarajan Ganesan, Parag Barwad

Keywords : Degenerated bioprosthesis, Malformed strut, Perioperative echocardiography, Transcatheter Aortic valve replacement, Transcatheter heart valve, Transesophageal echocardiography, Valve-in-valve

Citation Information : Karri SR, Ganesan R, Barwad P. Troubleshooting Valve-in-valve Transcatheter Aortic Valve Replacement with Transesophageal Echocardiography: Case Report. J Perioper Echocardiogr 2021; 9 (1):9-12.

DOI: 10.5005/jp-journals-10034-1120

License: CC BY-NC 4.0

Published Online: 29-04-2023

Copyright Statement:  Copyright © 2021; The Author(s).


Background: Valve-in-valve transcatheter heart valve (ViV THV) differs from native transcatheter heart valve (THV) in preprocedural assessment, procedure and anticipated complications during procedure. Transesophageal echocardiography (TEE) plays a supplemental role to guide cardiologist during procedure and helps in monitoring complications. Methods: In this case report, we describe the TEE findings observed during a valve-in-valve transcatheter aortic valve replacement (ViV TAVR) procedure. The findings helped to guide the procedure, supplemented detecting a rare complication of malformed THV and thereby improved patient outcome. Conclusion: TEE can prevent complications, detect abnormalities early, and improve patient outcome, when taken in conjunction with other imaging modalities.

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