Implantation of a Sutureless Valve Into a Stented Prosthesis: An Open Salvage Procedure.

BACKGROUND

A 78-year-old male was admitted to our institute with increasing shortness of breath and decreased exercise tolerance. His increasing symptoms were not relieved with medical management. He had a complex medical history that included aortic valve replacement (AVR). Echocardiography showed a deteriorating aortic bioprosthesis with severe aortic regurgitation.

METHOD: Intraoperative extraction of this prosthesis proved technically challenging and a valve in valve successfully was implanted as a salvage procedure.

RESULTS

The procedure was successful, and the patient made a full recovery.

CONCLUSION

Open valve in valve implantation, despite technical difficulties, may be utilized as a salvage procedure.