Legends
Figure 1: Paravalvular and central components of moderate to severe aortic regurgitation and stenosis.
Figure 2: Cardiac computed tomography and fluoroscopic images demonstrated that some part of the Perceval® S valve collapsed and protruding into LV outflow.
Figure 3: Transcatheter Portico valve was implanted adequately at the lowest visible margin of the Perceval® S valve stent
Figure 4: Balloon dilatation with a larger balloon (22 mm) and mild to moderate aortic regurgitation with no significant aortic valve gradient