Self-expandable valve-in-valve transcatheter aortic valve implantation for a failed sutureless Perceval bioprosthesis: a case report.

Strahil K Vasilev, Ivo S Petrov, Zoran I Stankov, Dayana K Emanuilova

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Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Strahil K VasilevDepartment of Cardiology, Angiology and Electrophysiology, 'Acibadem City Clinic' University Hospital - Vitosha, 1 Konstantin Pomyanov Street, Sofia 1700, Bulgaria.ORCID https://orcid.org/0000-0001-5981-1674

Ivo S PetrovDepartment of Cardiology, Angiology and Electrophysiology, 'Acibadem City Clinic' University Hospital - Vitosha, 1 Konstantin Pomyanov Street, Sofia 1700, Bulgaria.

Zoran I StankovDepartment of Cardiology, Angiology and Electrophysiology, 'Acibadem City Clinic' University Hospital - Vitosha, 1 Konstantin Pomyanov Street, Sofia 1700, Bulgaria.

Dayana K EmanuilovaDepartment of Diagnostic Imaging, 'Acibadem City Clinic' University Hospital - Vitosha, Sofia 1700, Bulgaria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early structural degeneration of sutureless Perceval bioprostheses is uncommon but may result in severe haemodynamic compromise and heart failure. Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) represents a less invasive therapeutic option in high-risk patients. Case summary: A 78-year-old woman presented with progressive dyspnoea and lower-extremity oedema 3 years after surgical aortic valve replacement with a Perceval bioprosthesis. Transthoracic echocardiography revealed severe mixed prosthetic valve dysfunction with markedly elevated transvalvular gradients. Owing to prohibitive surgical risk, comprehensive preprocedural planning with echocardiography and multidetector computed tomography was performed to assess annular dimensions and coronary anatomy. A self-expandable ViV-TAVI was successfully performed, guided by fluoroscopic visualization of the Perceval inflow ring. Discussion: This case highlights the importance of understanding sutureless valve geometry and meticulous computed tomography-based planning when performing ViV-TAVI with a self-expandable transcatheter valve.

Indexed as

Case reportMultidetector computed tomographyPerceval bioprosthesisSelf-expandable transcatheter heart valveStructural valve degenerationSutureless aortic valveValve-in-valve TAVI

Identifiers

PMID41809266

DOI10.1093/ehjcr/ytag095

PMCPMC12969585

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