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      Bailout From Sinus Jailing : In-Series TAVR-in-TAVR to Avoid Coronary Flow Obstruction

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          Abstract

          Redo transcatheter aortic valve replacement (TAVR) may pose the risk of coronary flow obstruction. We report 2 cases of severe TAVR regurgitation due to different physiopathological mechanisms in which TAVR-in-TAVR could be at high risk for sinus sequestration. Both cases were successfully treated by in-series implantation of a second transcatheter heart valve, thus avoiding sinus sequestration. ( Level of Difficulty: Intermediate.)

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          Repeat Transcatheter Aortic Valve Replacement for Transcatheter Prosthesis Dysfunction

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            A computed tomography study of coronary access and coronary obstruction after redo transcatheter aortic valve implantation

            The aim of this study was to investigate the risk of impaired coronary access and coronary obstruction after redo TAVI.
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              Risk of coronary obstruction due to sinus sequestration in redo transcatheter aortic valve replacement

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                Author and article information

                Contributors
                Journal
                JACC Case Rep
                JACC Case Rep
                JACC Case Reports
                Elsevier
                2666-0849
                21 April 2021
                April 2021
                21 April 2021
                : 3
                : 4
                : 678-681
                Affiliations
                [1]Clinical and Interventional Cardiology Department, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Donato, Milan, Italy
                Author notes
                [] Address for correspondence: Dr. Matteo Casenghi, IRCCS Policlinico San Donato, San Donato Milanese, Milan 20097, Italy. matcasenghi@ 123456hotmail.it
                Article
                S2666-0849(21)00205-9
                10.1016/j.jaccas.2021.02.022
                8302790
                34317602
                bc8437ff-1836-42e6-addd-18288b5146fd
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 8 December 2020
                : 1 February 2021
                : 28 February 2021
                Categories
                Mini-Focus Issue: Valvular Heart Disease
                Case Report: Clinical Case Series

                coronary obstruction,durability,tavr-in-tavr,transcatheter aortic valve replacement,ct, computed tomography,pvl, paravalvular leak,stj, sinotubular junction,tavr, transcatheter aortic valve replacement,thv, transcatheter heart valve

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