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Interventional options for severe aortic regurgitation after transcatheter aortic valve implantation: balloons, snares, valve-in-valve

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Conflict of interest

Holger Eggebrecht is a trainer for transcatheter aortic valve implantation (TAVI) for Medtronic/CoreValve and clinical proctor for Edwards Lifesciences. Mirko Doss is a clinical proctor for Edwards Lifesciences.

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Correspondence to Holger Eggebrecht.

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392_2012_434_MOESM1_ESM.avi

Movie 1. Angiography after valve implantation showing a too-low position of the prosthesis into the left ventricular outflow tract, resulting in severe paravalvular regurgitation. (AVI 9126 kb)

392_2012_434_MOESM2_ESM.avi

Movie 2. Upwards pulling of the prosthesis by a loop snare attached to one of the frame loops resulting in an optimal position with diminished regurgitation. After release of tension, the valve migrates back into the too-low position (AVI 4458 kb)

Movie 3. Balloon dilatation of the implanted valve. (AVI 10611 kb)

Movie 4. Stepwise implantation of the second (valve-in-valve) Medtronic/CoreValve prosthesis at a higher position. (WMV 7950 kb)

Movie 5. Final result showing only trace transvalvular regurgitation. (AVI 6014 kb)

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Eggebrecht, H., Doss, M., Schmermund, A. et al. Interventional options for severe aortic regurgitation after transcatheter aortic valve implantation: balloons, snares, valve-in-valve. Clin Res Cardiol 101, 503–507 (2012). https://doi.org/10.1007/s00392-012-0434-4

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  • DOI: https://doi.org/10.1007/s00392-012-0434-4

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