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Case Reports

Transcatheter Valve-in-Valve Aortic Valve Implantation: 16-Month Follow-Up

^a Division of Cardiac Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
^b Division of Cardiology, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada

Accepted for publication February 16, 2009.

^_* Address correspondence to Dr Ye, Division of Cardiac Surgery, St. Paul's Hospital, 1081 Burrard St, Vancouver, British Columbia, 6Z 1Y6, Canada (Email: jye{at}providencehealth.bc.ca).

Off-pump transcatheter, transapical valve-in-valve aortic valve implantation into a failed surgically implanted aortic valve was successfully performed in an 85-year-old man. He was discharged on postoperative day 5, and remained well at his 16-month follow-up. Echocardiography at 12 months showed normal prosthetic valve function without displacement, recoil, or regurgitation. Transcatheter transapical valve-in-valve aortic valve implantation is feasible and could be a viable approach for selected patients.