Valve-in-Valve TAVR for Degenerated Perceval Valves
Mouna Kodali, Rajesh Gutpa, Ahmad Mahdi, Omar Sajdeya, Ashish Yadav, George V Moukarbel · 2026
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Description
Mouna Kodali and colleagues report two 2026 cases of valve-in-valve replacement inside failed sutureless Perceval valves, whose ring design complicates repeat implants. The Perceval frame sits above the annulus, lacks X-ray markers, and can trap delivery gear when wires cross off-centre. Both patients received balloon-expandable Sapien 3 Ultra valves for degenerated implants.
In the first case, standard crossing trapped the delivery system, demanding balloon shifts and snaring to free it. In the second, a forward route through the septum with a wire loop gave precise central crossing and a smooth implant. Both patients recovered well with symptoms eased, and the authors judge the forward route safer and faster when standard crossing fails.
Catalog record
| CREATOR | Mouna Kodali, Rajesh Gutpa, Ahmad Mahdi, Omar Sajdeya, Ashish Yadav, George V Moukarbel |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 16 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |