The first report of transcatheter aortic valve-in-valve implantation within the expandable Inspiris Resilia® bioprosthetic valve

Abstract

A 61-year-old male who underwent aortic valve replacement with an Inspiris ResiliaVR aortic bioprosthetic through an upper partial sternotomy due to severe aortic valve stenosis was presented 1 year later to our hospital suffering from dyspnoea and chest pain. The transthoracic echocardiography demonstrated moderate haemodynamic structural valve deterioration with a mean gradient of 29 mmHg and a valve area of 0.9 cm2. Due to relatively high-risk of reoperation, valve-in-valve transcatheter aortic valve replacement with Sapien 3VR 29 mm, followed by balloon valvuloplasty, was successfully performed. To the best of our knowledge, this is the first published case of valve-in-valve transcatheter aortic valve replacement into a degenerated Inspiris ResiliaVR aortic valve.