{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:49:33Z","timestamp":1753876173179,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T00:00:00Z","timestamp":1655078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Bentall procedure is commonly performed to treat combined aortic valve and ascending aorta disease requiring surgical correction. Although the technique has been shown to provide favourable long-term outcomes, both the valvular prosthesis and the aortic conduit can go through structural degeneration. Increasing use of the biological prosthesis opened to percutaneous treatment of valvular deterioration according to a valve-in-valve (ViV) technique. On the contrary, damages of the tube graft are normally referred to repeated surgical operation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>In the present case, a patient with a biological Bentall graft was diagnosed with severely deteriorated stentless aortic prosthesis and dissection of the conduit arising from a tube wall tear closely located to the valvular plane. The attempted redo surgery was technically unfeasible because of severe mediastinal adhesions; therefore, a ViV procedure with a balloon expandable transcatheter heart valve was performed in order to contemporarily treat the valve prothesis dysfunction and the aortic tube dissection. No procedure-related complications occurred and subsequent aortic computed tomography angiography showed the sealing of the graft wall false lumen.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Surgical reintervention remains the treatment of choice for degeneration of a previous Bentall surgery, especially when damages of the aortic conduit exist. Nevertheless, when surgery has to be discarded, ViV can be a reliable option as a bail-out strategy to deal with combined aortic valve dysfunction and tube dissection.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac232","type":"journal-article","created":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T18:51:12Z","timestamp":1655146272000},"source":"Crossref","is-referenced-by-count":0,"title":["Degenerated BioBentall graft with failing stentless bioprosthesis and dissection of the aortic conduit treated with a bail-out valve in valve procedure: a case report"],"prefix":"10.1093","volume":"6","author":[{"given":"Massimo","family":"Fineschi","sequence":"first","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, Azienda Ospedaliera Universitaria Senese , Siena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1257-5197","authenticated-orcid":false,"given":"Francesco","family":"Contorni","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, Azienda Ospedaliera Universitaria Senese , Siena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arcangelo","family":"Carrera","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, Azienda Ospedaliera Universitaria Senese , Siena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugenio","family":"Neri","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardio-Thoracic Surgery, Azienda Ospedaliera Universitaria Senese , Siena , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,13]]},"reference":[{"key":"2022070817473679800_ytac232-B1","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1510\/icvts.2008.187849","article-title":"Bio-ValsalvaTM prosthesis: \u201cnew\u201d conduit for \u201cold\u201d patients","volume":"7","author":"di Bartolomeo","year":"2008","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2022070817473679800_ytac232-B2","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1093\/ejcts\/ezu316","article-title":"Bio-Bentall procedure versus isolated biological aortic valve replacement: a case-match study","volume":"47","author":"Urbanski","year":"2015","journal-title":"Eur J CardioThorac Surg"},{"key":"2022070817473679800_ytac232-B3","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/j.jcin.2019.05.022","article-title":"Transcatheter aortic valve-in-valve replacement for degenerated stentless bioprosthetic aortic valves","volume":"12","author":"Miller","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"2022070817473679800_ytac232-B4","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.jtcvs.2015.03.021","article-title":"Valve-in-valve transcatheter aortic valve implantation for failing surgical aortic stentless bioprosthetic valves: a single-center experience","volume":"150","author":"Duncan","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022070817473679800_ytac232-B5","doi-asserted-by":"crossref","first-page":"U44","DOI":"10.4244\/EIJV10SUA7","article-title":"Valve-in-valve apps: why and how they were developed and how to use them","volume":"10 Suppl U","author":"Bapat","year":"2014","journal-title":"EuroIntervention"},{"key":"2022070817473679800_ytac232-B6","doi-asserted-by":"crossref","first-page":"539","DOI":"10.4244\/EIJ-D-19-00928","article-title":"Systematic review and meta-analysis of valve-in-valve transcatheter aortic valve replacement in patients with failed bioprosthetic aortic valves","volume":"16","author":"Mahmoud","year":"2020","journal-title":"EuroIntervention"},{"key":"2022070817473679800_ytac232-B7","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1093\/eurheartj\/ehx455","article-title":"Incidence, predictors, and clinical outcomes of coronary obstruction following transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: insights from the VIVID registry","volume":"39","author":"Ribeiro","year":"2018","journal-title":"Eur Heart J"},{"key":"2022070817473679800_ytac232-B8","first-page":"E1","article-title":"Bioprosthetic aortic paravalvular leak: is valve-in-valve another solution?","volume":"29","author":"Tandar","year":"2017","journal-title":"J Invasive Cardiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac232\/44046767\/ytac232.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/7\/ytac232\/44608264\/ytac232.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/7\/ytac232\/44608264\/ytac232.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,8]],"date-time":"2022-07-08T17:48:00Z","timestamp":1657302480000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac232\/6607743"}},"subtitle":[],"editor":[{"given":"Francesco","family":"Moroni","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Claudio","family":"Montalto","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Al-Hijji","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Debbie","family":"Falconer","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Senior","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,6,13]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7,6]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac232","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2022,7,1]]},"published":{"date-parts":[[2022,6,13]]},"article-number":"ytac232"}}