Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
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Case Report

Volume 16, Number 1, February 2025, pages 72-79

First Transcatheter Valve-in-Valve Implantation With Myval Octacor Into a Failed Biological Prosthetic Aortic Valve in Serbia

Figures

↓  Figure 1. Pre-procedural echocardiographic pressure gradients over surgical aortic bioprostheses.
Figure 1.
↓  Figure 2. Diameters of the aortic annulus, SOV, LVOT, STJ, and ascending aorta were measured on CT. The last image shows a heavily calcified aortic annulus. CT: computed tomography; LVOT: left ventricular outflow tract; SOV: sinus of Valsalva; STJ: sinotubular junction.
Figure 2.
↓  Figure 3. Sinus of Valsalva heights measured on CT (LCC, RCC, and NCC, respectively). CT: computed tomography; LCC: left coronary cusp; NCC: non-coronary cusp; RCC: right coronary cusp.
Figure 3.
↓  Figure 4. Aortic arch and aortic root angulation. Separate origins of brachiocephalic trunk, left carotid artery, and left subclavian artery were seen.
Figure 4.
↓  Figure 5. The right femoral artery was chosen for the main access site, without significant tortuosity or notable calcification seen on CT. CT: computed tomography.
Figure 5.
↓  Figure 6. Valve-in-valve TAVR - implantation of ballon-expandable Myval Octacor valve into previously implanted bioprothesis. TAVR: transcatheter aortic valve replacement.
Figure 6.
↓  Figure 7. Post-procedural pressure gradients over aortic valve.
Figure 7.