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Transcatheter Aortic Valve-in-Valve Implantation Complicated by Aorto-Right Ventricular Fistula

Research output: Contribution to journalArticle

Tiffany Patterson, Ronak Rajani, Giulia Esposito, Christopher Allen, Heath Adams, Bernard Prendergast, Simon Redwood, Christopher Young

Original languageEnglish
Pages (from-to)309-311
JournalJournal of the American College of Cardiology: Case Reports
Issue number2
Early online date19 Feb 2020
Publication statusPublished - Feb 2020


King's Authors


We describe the case of a degenerative, sutureless bioprosthetic valve (BPV) with deformation and stent infolding in a patient with elevated surgical risk. Following discussion among the heart team, balloon valve fracture was performed to facilitate deployment of an aortic valve-in-valve transcatheter heart valve. Post-procedural imaging demonstrated BPV frame protrusion and contained annular rupture, which required operative intervention. (Level of Difficulty: Intermediate.)

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