INTRODUCTION
In patients with aortic stenosis, sutureless aortic valves are a
relatively novel method of surgical aortic valve replacement (SAVR), and
due to less potential invasive nature, these valves are increasingly
preferred in patients with significant comorbidities. Likewise,
transcatheter aortic valve implantation (TAVI) is a less invasive method
of aortic valve replacement for patients with high surgical risk (1). An
emerging and less invasive indication of TAVI is bioprosthetic valve
failure instead of re-do surgical valve replacement (2). Although
numerous reports and series of the successful valve in valve (VIV)
procedures have been published in patients with failing stented or
stentless bioprosthetic valves, so far, only one case report is present
regarding the feasibility of aortic VIV procedures for failing
sutureless aortic valves with a balloon-expandable transcatheter valve.
In this report, we present a case of the trans-femoral implant of a
self-expandable (Portico) aortic valve in a failing sutureless
self-expandable Sorin Perceval® S valve.