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With the advent of new technologies, multiple treatment strategies are available to treat bioprosthetic valve failure, including valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR). However, ViV TAVR has an increased risk of higher gradients and patient prosthesis mismatch (PPM) secondary to placing the new valve within the rigid frame of the prior valve, especially in patients with a small surgical bioprosthesis in situ. Bioprosthetic valve fracture allows for placement of a larger transcatheter valve, as well as a fully expanded transcatheter valve, decreasing postoperative gradients and the risk of PPM.<\/jats:p>","DOI":"10.1155\/2022\/9737245","type":"journal-article","created":{"date-parts":[[2022,9,3]],"date-time":"2022-09-03T04:35:05Z","timestamp":1662179705000},"page":"1-9","source":"Crossref","is-referenced-by-count":3,"title":["Management of Failed Bioprosthetic Aortic Valves: Mitigating Complications and Optimizing Outcomes"],"prefix":"10.1155","volume":"2022","author":[{"given":"Elizabeth L.","family":"Norton","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University, Atlanta, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison F.","family":"Ward","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University, Atlanta, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Greenbaum","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Emory University, Atlanta, USA"},{"name":"Emory University Structural Heart and Valve Center, Atlanta, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1369-5521","authenticated-orcid":true,"given":"Kendra J.","family":"Grubb","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Emory University, Atlanta, USA"},{"name":"Emory University Structural Heart and Valve Center, Atlanta, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2021.03.017"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2020.10.065"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.05.081"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2019.11.007"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2017-311582"},{"issue":"21","key":"6","doi-asserted-by":"crossref","first-page":"2717","DOI":"10.1016\/j.jacc.2021.02.038","article-title":"Valve academic Research Consortium 3: updated Endpoint definitions for aortic valve clinical Research","volume":"77","author":"C. 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