| Case . | Description . | Areas of concern . |
|---|---|---|
| 1 | 79-Year-old-female. Severe aortic regurgitation. NYHA III–IV. Previous cardiac surgery (septal myectomy). Breast cancer (surgery + RT). Severe COPD. Tricuspid aortic valve. Preserved LVEF. | Pure aortic regurgitation. Distance annulus-LM coronary ostia: 10 mm. Severe tortuosity and calcification in bilateral femoral-iliac route |
| 2 | 71-Year-old-man. Severe AS. NYHA III. Severe COPD. Obesity. Chronic CAD. Preserved LVEF. Tricuspid aortic valve. | None |
| 3 | 50-Year-old-male. Severe bicuspid aortic stenosis. Huge calcification. Anomalous origin of the RCA. | Bicuspid valve with huge calcification in valve, mitral annulus and LVOT. Anomalous origin of RCA from the left coronary sinus. |
| 4 | 49-Year-old-man. Previous cardiac surgery for bioAVR (Trifecta Abbott 23) + ascending aorta replacement. Severe-massive intra prosthetic regurgitation. Dilated LV. NYHA III. Annulus-LCA distance: 8 mm. Annulus-RCA distance: 12 mm. | Valve-in-valve procedure |
| Short LCA-prosthesis distance | ||
| 5 | 80-Year-old man. Severe aortic regurgitation. NYHA II–III. Previous CABG × 4 (LIMA + RIMA). Preserved LVEF. | None |
| 6 | 78-Year-old-man. Severe AS. NYHA III. Chronic CAD. Severe COPD. Preserved LVEF. Severe peripheral arteriopathy. | None |
| 7 | 74-Year-old female. Critical AS, low-gradient, low-flow. LVEF: 28%. Severe pulmonary hypertension. Previous cardiac surgery for mechanical mitral valve replacement. Short | Depth implant target |
| 8 | 77-Year-old male. Severe AS. NYHA III. Obesity. Poor mobility. Spine surgery/arthrosis. Preserved LVEF. | None |
| 9 | 70-Year-old-female. Previous SAVR (Crown 21) + CABG. Severe aortic bioprosthesis dysfunction. NYHA III. Distance annulus-LMCA: 8 mm. Distance annulus-RCA: 7 mm. Sinus of Valsalva: 29 × 29 × 29. | Valve-in-valve procedure |
| Short distance LMCA/RCA-prosthesis | ||
| 10 | 78-Year-old-female. Severe AS. NYHA III. Severe Sd Sjögren. Tricuspid aortic valve. Preserved LVEF. | None |
| 11 | 73-Year-old male. Severe AS low gradient. LVEF: 35%. Previous cardiac surgery for CABG × 4. | None |
| Case . | Description . | Areas of concern . |
|---|---|---|
| 1 | 79-Year-old-female. Severe aortic regurgitation. NYHA III–IV. Previous cardiac surgery (septal myectomy). Breast cancer (surgery + RT). Severe COPD. Tricuspid aortic valve. Preserved LVEF. | Pure aortic regurgitation. Distance annulus-LM coronary ostia: 10 mm. Severe tortuosity and calcification in bilateral femoral-iliac route |
| 2 | 71-Year-old-man. Severe AS. NYHA III. Severe COPD. Obesity. Chronic CAD. Preserved LVEF. Tricuspid aortic valve. | None |
| 3 | 50-Year-old-male. Severe bicuspid aortic stenosis. Huge calcification. Anomalous origin of the RCA. | Bicuspid valve with huge calcification in valve, mitral annulus and LVOT. Anomalous origin of RCA from the left coronary sinus. |
| 4 | 49-Year-old-man. Previous cardiac surgery for bioAVR (Trifecta Abbott 23) + ascending aorta replacement. Severe-massive intra prosthetic regurgitation. Dilated LV. NYHA III. Annulus-LCA distance: 8 mm. Annulus-RCA distance: 12 mm. | Valve-in-valve procedure |
| Short LCA-prosthesis distance | ||
| 5 | 80-Year-old man. Severe aortic regurgitation. NYHA II–III. Previous CABG × 4 (LIMA + RIMA). Preserved LVEF. | None |
| 6 | 78-Year-old-man. Severe AS. NYHA III. Chronic CAD. Severe COPD. Preserved LVEF. Severe peripheral arteriopathy. | None |
| 7 | 74-Year-old female. Critical AS, low-gradient, low-flow. LVEF: 28%. Severe pulmonary hypertension. Previous cardiac surgery for mechanical mitral valve replacement. Short | Depth implant target |
| 8 | 77-Year-old male. Severe AS. NYHA III. Obesity. Poor mobility. Spine surgery/arthrosis. Preserved LVEF. | None |
| 9 | 70-Year-old-female. Previous SAVR (Crown 21) + CABG. Severe aortic bioprosthesis dysfunction. NYHA III. Distance annulus-LMCA: 8 mm. Distance annulus-RCA: 7 mm. Sinus of Valsalva: 29 × 29 × 29. | Valve-in-valve procedure |
| Short distance LMCA/RCA-prosthesis | ||
| 10 | 78-Year-old-female. Severe AS. NYHA III. Severe Sd Sjögren. Tricuspid aortic valve. Preserved LVEF. | None |
| 11 | 73-Year-old male. Severe AS low gradient. LVEF: 35%. Previous cardiac surgery for CABG × 4. | None |
| Case . | Description . | Areas of concern . |
|---|---|---|
| 1 | 79-Year-old-female. Severe aortic regurgitation. NYHA III–IV. Previous cardiac surgery (septal myectomy). Breast cancer (surgery + RT). Severe COPD. Tricuspid aortic valve. Preserved LVEF. | Pure aortic regurgitation. Distance annulus-LM coronary ostia: 10 mm. Severe tortuosity and calcification in bilateral femoral-iliac route |
| 2 | 71-Year-old-man. Severe AS. NYHA III. Severe COPD. Obesity. Chronic CAD. Preserved LVEF. Tricuspid aortic valve. | None |
| 3 | 50-Year-old-male. Severe bicuspid aortic stenosis. Huge calcification. Anomalous origin of the RCA. | Bicuspid valve with huge calcification in valve, mitral annulus and LVOT. Anomalous origin of RCA from the left coronary sinus. |
| 4 | 49-Year-old-man. Previous cardiac surgery for bioAVR (Trifecta Abbott 23) + ascending aorta replacement. Severe-massive intra prosthetic regurgitation. Dilated LV. NYHA III. Annulus-LCA distance: 8 mm. Annulus-RCA distance: 12 mm. | Valve-in-valve procedure |
| Short LCA-prosthesis distance | ||
| 5 | 80-Year-old man. Severe aortic regurgitation. NYHA II–III. Previous CABG × 4 (LIMA + RIMA). Preserved LVEF. | None |
| 6 | 78-Year-old-man. Severe AS. NYHA III. Chronic CAD. Severe COPD. Preserved LVEF. Severe peripheral arteriopathy. | None |
| 7 | 74-Year-old female. Critical AS, low-gradient, low-flow. LVEF: 28%. Severe pulmonary hypertension. Previous cardiac surgery for mechanical mitral valve replacement. Short | Depth implant target |
| 8 | 77-Year-old male. Severe AS. NYHA III. Obesity. Poor mobility. Spine surgery/arthrosis. Preserved LVEF. | None |
| 9 | 70-Year-old-female. Previous SAVR (Crown 21) + CABG. Severe aortic bioprosthesis dysfunction. NYHA III. Distance annulus-LMCA: 8 mm. Distance annulus-RCA: 7 mm. Sinus of Valsalva: 29 × 29 × 29. | Valve-in-valve procedure |
| Short distance LMCA/RCA-prosthesis | ||
| 10 | 78-Year-old-female. Severe AS. NYHA III. Severe Sd Sjögren. Tricuspid aortic valve. Preserved LVEF. | None |
| 11 | 73-Year-old male. Severe AS low gradient. LVEF: 35%. Previous cardiac surgery for CABG × 4. | None |
| Case . | Description . | Areas of concern . |
|---|---|---|
| 1 | 79-Year-old-female. Severe aortic regurgitation. NYHA III–IV. Previous cardiac surgery (septal myectomy). Breast cancer (surgery + RT). Severe COPD. Tricuspid aortic valve. Preserved LVEF. | Pure aortic regurgitation. Distance annulus-LM coronary ostia: 10 mm. Severe tortuosity and calcification in bilateral femoral-iliac route |
| 2 | 71-Year-old-man. Severe AS. NYHA III. Severe COPD. Obesity. Chronic CAD. Preserved LVEF. Tricuspid aortic valve. | None |
| 3 | 50-Year-old-male. Severe bicuspid aortic stenosis. Huge calcification. Anomalous origin of the RCA. | Bicuspid valve with huge calcification in valve, mitral annulus and LVOT. Anomalous origin of RCA from the left coronary sinus. |
| 4 | 49-Year-old-man. Previous cardiac surgery for bioAVR (Trifecta Abbott 23) + ascending aorta replacement. Severe-massive intra prosthetic regurgitation. Dilated LV. NYHA III. Annulus-LCA distance: 8 mm. Annulus-RCA distance: 12 mm. | Valve-in-valve procedure |
| Short LCA-prosthesis distance | ||
| 5 | 80-Year-old man. Severe aortic regurgitation. NYHA II–III. Previous CABG × 4 (LIMA + RIMA). Preserved LVEF. | None |
| 6 | 78-Year-old-man. Severe AS. NYHA III. Chronic CAD. Severe COPD. Preserved LVEF. Severe peripheral arteriopathy. | None |
| 7 | 74-Year-old female. Critical AS, low-gradient, low-flow. LVEF: 28%. Severe pulmonary hypertension. Previous cardiac surgery for mechanical mitral valve replacement. Short | Depth implant target |
| 8 | 77-Year-old male. Severe AS. NYHA III. Obesity. Poor mobility. Spine surgery/arthrosis. Preserved LVEF. | None |
| 9 | 70-Year-old-female. Previous SAVR (Crown 21) + CABG. Severe aortic bioprosthesis dysfunction. NYHA III. Distance annulus-LMCA: 8 mm. Distance annulus-RCA: 7 mm. Sinus of Valsalva: 29 × 29 × 29. | Valve-in-valve procedure |
| Short distance LMCA/RCA-prosthesis | ||
| 10 | 78-Year-old-female. Severe AS. NYHA III. Severe Sd Sjögren. Tricuspid aortic valve. Preserved LVEF. | None |
| 11 | 73-Year-old male. Severe AS low gradient. LVEF: 35%. Previous cardiac surgery for CABG × 4. | None |
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