It looks like you're using an obsolete version of internet explorer. Internet explorer is no longer supported by Microsoft since the end of 2015. We invite you to use a newer browser such as Firefox, Google Chrome or Microsoft Edge.

Become an Incathlab member and receive full access to its content!

You must be an Incathlab member to access videos without any restrictions. Register for free in one minute and access all services provided by Incathlab.You will also be able to log into Incathlab from your Facebook or twitter account by clicking on login on the top-right corner of Incathlab website.

Registration Login

Shooting date : 2019-02-04
Last update : 2020-03-04
Language(s) : English
Patient data
  • 70 year-old female
  • Previous surgery : Aortic dissection in 2005 (supra coronary replacement with a tu...
Patient data
  • 70 year-old female
  • Previous surgery : Aortic dissection in 2005 (supra coronary replacement with a tube of 30mm)
  • NYHA III Dyspnea with 3 episodes of acute pulmonary oedema
  • TTE: LEF 60%, severe AI with cusp prolaps, LV dilatation and secondary MI grade II and TI grade II
  • Left heart cath: Normal
  • EuroSCORE I 20,6%; II 6,19%, high risk surgery
  • Heart TEAM: off- label TAVR followed by Mitraclip in a second step if needed
Description of procedure
  • Main arterial acces: Left commun carotid (the only non dissected artery)
  • Pigtail from the right arterial artery
  • Aortic surface 3,4cm² and perimeter 6,7cm
  • Corevalve Pro 26mm with deployement on rapid pacing and TEE guidance
Strategy & approach
  • Discussion in Heart Team and patient jugged at high risk for redo surgery. Endovascular treatment of aortic insufficiency
Devices used
  • Corevalve Pro 26mm
Medical therapy
  • Not applied in this case


  • Surgeons: Dr Fabre, Dr Hysi
  • Cardiologist: Dr Pécheux, Dr Hannebicque
  • Anesthesiologist: Dr Rebet
  1. Roy DA, Schaefer U, Guetta V, Hildick-Smith D, Möllmann H, Dumonteil N, et al. Transcatheter aortic valve implantation for pure severe native aortic valve regurgitation. J Am Coll Cardiol 2013;61:1577–84.
  2. Abdelaziz HK, Wiper A, More RS, Bittar MN, Roberts DH. Successful Transcatheter Aortic Valve Replacement Using Balloon-Expandable Valve for Pure Native Aortic Valve Regurgitation in the Presence of Ascending Aortic Dissection. J Invasive Cardiol 2018;30:E62–E63.
  3. Caporali E, Pedrazzini G, Demertzis S, Ferrari E. Transcatheter aortic valve implantation for recurrent Valsalva sinus re-dissection and severe aortic regurgitation shortly after surgery for type-A aortic dissection. Interact Cardiovasc Thorac Surg 2017;25:839–41.
  4. Maureira P, Liu Y, Stafford N, Fiore A, Angioi M. Transcatheter aortic valve implantation via right carotid artery route for severe aortic regurgitation management in a patient with chronic operated type A aortic dissection. Heart Surg Forum 2014;17:E242–244.
  5. Bruschi G, Colombo P, Nava S, Musca F, Merlanti B, Belli O, et al. Evolut R Implantation to Treat Severe Pure Aortic Regurgitation in a Patient With Mitral Bioprosthesis. Ann Thorac Surg 2016;102:e521–e524.
Join the Discussion
  • Pecheux M. Fois result

      Please, select your files, click upload button, write your comment and click the send button. (allowed formats : images jpeg, gif, png, and PDF)
      Your browser doesn't have Flash, Silverlight or HTML5 support.

    Scroll Up