Transcatheter valve-in-valve implantation is evolving as a promising alternative to
reoperative valve replacement in selected high-risk patients, considering the increasing
need for redo surgery due to bioprosthetic degeneration in the future. Reoperative
double valve replacements are particularly associated with an elevated surgical risk.
The transapical access provides the opportunity to approach the aortic and mitral
valves during one intervention. We report the case of a successful transcatheter valve-in-valve
implantation in the aortic and mitral position within a single procedure.
transcatheter aortic valve implantation - transapical - reoperation - xenograft degeneration