Transcatheter Aortic Valve-in-Surgical Aortic Valve (TAV-in-SAV) for Structural Valve Degeneration of Post-Surgical Aortic Valve Replacement (SAVR) With the 3D-Nicks Procedure: A Case Report
{"Transcatheter":[0],"aortic":[1,12,24,26,35,76,97,104,207],"valve":[2,7,13,98,166],"implantation":[3],"(TAVI)":[4],"for":[5],"structural":[6],"deterioration":[8],"(SVD)":[9],"following":[10,87],"surgical":[11],"replacement":[14],"(SAVR)":[15],"is":[16],"an":[17],"established":[18],"alternative":[19],"to":[20,73],"redo":[21],"surgery":[22],"(transcatheter":[23],"valve-insurgical":[25],"valve,":[27],"or":[28,37,49],"TAV-in-SAV).However,":[29],"in":[30],"patients":[31],"with":[32,89,95,122],"a":[33,55,67,80,102,160],"small":[34,38],"annulus":[36],"sinus":[39],"of":[40,45,85],"Valsalva":[41],"(SOV),":[42],"the":[43,63,90,123,191,200],"risk":[44],"coronary":[46,174],"artery":[47],"obstruction":[48],"severe":[50,96,131],"prosthesis-patient":[51],"mismatch":[52],"(PPM)":[53],"remains":[54],"major":[56],"constraint.To":[57],"address":[58],"this,":[59],"we":[60],"previously":[61],"introduced":[62],"\\"3D-Nicks\\"":[64],"procedure,":[65],"using":[66,159],"preoperatively":[68],"prepared":[69],"three-dimensional":[70,206],"ellipsoidal":[71],"patch":[72],"achieve":[74],"circumferential":[75],"root":[77,105,140,208],"enlargement.We":[78],"report":[79],"14-year":[81],"successful":[82],"clinical":[83],"course":[84],"TAV-in-SAV":[86],"SAVR":[88,113],"3D-Nicks":[91,124,136,201],"procedure.A":[92],"61-year-old":[93],"woman":[94],"stenosis":[99],"(AS)":[100],"and":[101],"narrow":[103],"(annulus":[106],"19":[107],"mm,":[108,116,144,147,151],"STJ":[109,145],"20":[110],"mm)":[111],"underwent":[112],"(CEP19":[114],"®":[115,165],"Edwards":[117],"Lifesciences,":[118],"Irvine,":[119],"CA)":[120],"combined":[121],"technique.Around":[125],"14":[126],"years":[127],"postoperatively,":[128],"she":[129],"developed":[130],"SVD.Contrast":[132],"CT":[133],"demonstrated":[134],"that":[135,199,210],"had":[137],"maintained":[138],"ample":[139],"geometry":[141],"(SOV":[142],"30.2-36.8":[143],"31.8":[146],"VTC":[148],">":[149,153],"5.0":[150],"VTSTJ":[152],"6.0":[154],"mm).TAV-in-SAV":[155],"was":[156],"successfully":[157],"performed":[158],"23":[161],"mm":[162],"Evolut":[163],"FX":[164],"(Medtronic,":[167],"Minneapolis,":[168],"MN)":[169],"via":[170],"transfemoral":[171],"access":[172],"without":[173],"protection.Postoperative":[175],"echocardiography":[176],"showed":[177],"excellent":[178],"hemodynamics":[179],"(mean":[180],"PG":[181],"6":[182],"mmHg,":[183],"EOAi":[184],"1.29":[185],"cm²/m²),":[186],"which":[187],"remained":[188],"stable":[189],"at":[190],"three-year":[192],"follow-up":[193],"(EOAi":[194],"1.16":[195],"cm²/m²).This":[196],"case":[197],"highlights":[198],"procedure":[202],"may":[203],"provide":[204],"favorable":[205],"dimensions":[209],"facilitate":[211],"safe":[212],"long-term":[213],"TAV-in-SAV.":[214]}
Authors
- Atsuo Mori
- Tadashi Omoto (ORCID: https://orcid.org/0000-0002-5235-5239)
- Tomoaki Masuda
- Daisuke Itakura
- Motoki Fukutomi
Institutions
- SHOWA Medical University (JP)
- Kawasaki Municipal Hospital (JP)
- Kawasaki Hospital (JP)
- SHOWA Medical University Hospital (JP)
Publication Details
- Journal
- Cureus
- Published
- 2026-09-08
- DOI
- https://doi.org/10.7759/cureus.115943
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00