The “fender” technique for redo-TAVR in a degenerated supra-annular valve with high-risk of coronary obstruction

A 77-year-old woman affected by diabetes mellitus and end-stage kidney disease on dialysis was admitted to our department for congestive heart failure and evidence of structural deterioration (1) of an Acurate Neo S (Boston Scientifics) aortic transcatheter heart valve (THV) implanted 4 years prior. At transthoracic echocardiography, sclerotic degeneration of THV's leaflets with significant increase in valve gradients (mean gradient 45 mmHg, valve area 0.97 cm2) and mild central aortic regurgitation was observed (Figure 1, Panel A-B).
Source: The American Journal of Cardiology - Category: Cardiology Authors: Tags: Brief report Source Type: research