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TCT-622 Is there a therapeutic limit to sequential aortic valve-in-valve? Hydrodynamic analysis of sequential valve-in-valve using the novel Inovare prosthesis in surgical aortic bioprosthesis

Caio Cesar Cardoso,Diego Felipe Gaia,Matheus Simonato dos Santos,Thiago Vila Nova, Ademir Massarico Braz,Andre Lupp,Celso Avila,Daniel Alves, Pedro Saab Mota, Guilherme Lira,Marcus Vinicius Gimenes,João Roberto Breda,Enio Buffolo,José Honório Palma

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY（2015）

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Abstract
The sequential implantation of a transcatheter heart valve (THV) within a similar device, also known as valve-in-valve-in-valve, will be an important concept in the future, considering patients with elevated surgical risk and failed THVs within surgical aortic valves (SAV). However, this procedure
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Key words
Transapical,Transcatheter aortic valve replacement,Valve-in-valve
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