Transcatheter aortic valve replacement with JenaValve Trilogy system for aortic regurgitation following a David procedure: a case report

This case demonstrates the feasibility of the JenaValve Trilogy for managing post-VSARR AR, even in the absence of annular calcification. Its unique anchoring mechanism, which uses locators positioned within the sinuses, provides secure fixation in complex anatomies. This leaflet-locating design may offer a transcatheter option for patients with non-calcified anatomy. While promising, further clinical experience and long-term data are needed to better define the role of this system in failed valve-sparing repairs.