Root replacement after transcatheter aortic valve replacement in homograft explant

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ID: 319540
2026
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Abstract
We present the case of a young man with a prior homograft root replacement and a subsequent transcatheter aortic valve-in-valve, who presented with a root pseudoaneurysm and severe aortic regurgitation due to valve degeneration from endocarditis. The surgical procedure involved the explant of transcatheter aortic valve implantation prosthesis using a snare technique, removal of the homograft and a subannular Bentall procedure. This case illustrates the technical challenges and the "lifetime management" strategy required for complex redo aortic interventions in younger patients.
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Authors Michele Galeazzi, Erlil Mali, Simone D’Alessio, Alessandro D'Alfonso, Filippo Capestro, Paolo Berretta, P Malvindi, Marco Di Eusanio
Journal Multimedia Manual of Cardio-Thoracic Surgery
Year 2026
DOI
10.1510/mmcts.2026.051
URL
https://doi.org/10.1510/mmcts.2026.051
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