[MSB-48] Emergency Surgical Aortic Valve Replacement in Patients Following Failed Valve-in-Valve Transcatheter Valve Procedure: A Case Series

Yunus Emre Ergin; Erdal Şimşek; Onur Karahasanoğlu; Yunus Şahin; Hatice Zengin; Altay Alili; Çağatay Kilinç; Serdar Günaydın

doi:10.5606/tgkdc.dergisi.2024.msb-48

[MSB-48] Emergency Surgical Aortic Valve Replacement in Patients Following Failed Valve-in-Valve Transcatheter Valve Procedure: A Case Series

Turk Gogus Kalp Damar Cerrahisi Derg. 2024 Dec 31;32(4 Suppl 2):073-73. doi: 10.5606/tgkdc.dergisi.2024.msb-48. eCollection 2024 Nov.

Authors

Yunus Emre Ergin¹, Erdal Şimşek¹, Onur Karahasanoğlu¹, Yunus Şahin¹, Hatice Zengin¹, Altay Alili¹, Çağatay Kilinç¹, Serdar Günaydın¹

Affiliation

¹ Ankara City Hospital, Ankara, Türkiye.

Abstract

Valve-in-valve transcatheter aortic valve implantation (TAVI) has become a less invasive alternative to reoperation for elderly or high-risk patients with failed bioprosthetic valves. Data from the EuRECS-TAVI (European Registry on Emergent Cardiac Surgery during TAVI) registry, covering 27,760 TAVI procedures, demonstrated that emergency cardiac surgery due to TAVI complications occurs in 0.76 to 0.98% of cases. The most common reasons include ventricular perforation (28.3%), annular rupture (21.2%), valve migration/embolization (12.7%), and aortic dissection (11.8%).

Keywords: Heart valve prosthesis implantation..