{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:30:49Z","timestamp":1787135449614,"version":"build-2736575974"},"reference-count":6,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":230,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Although surgical reintervention remains the standard of care for failed surgical valves, transcatheter aortic valve implantation in surgical aortic valves (TAV\u2010in\u2010SAV) has emerged as a viable alternative with reliable results. The Trifecta valve is one of the most challenging SAVR prostheses for TAV\u2010in\u2010SAV management. Recently, nonobstructive general angioscopy (NOGA) has been used to evaluate the quality of plaques on the inner surface of the aorta under direct visualization, which cannot be evaluated using computed tomography. Here, we describe a case of Trifecta\ufe0f bioprosthetic valve dysfunction (BVD) directly observed by NOGA. A 26\u2010mm Evolut FX was implanted, and the procedure was completed without complications. This case highlights the potential adjunctive role of NOGA in the assessment of BVD; however, its incremental clinical benefit and safety profile require further investigation.<\/jats:p>","DOI":"10.1155\/cric\/7201873","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:18:29Z","timestamp":1787134709000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Direct Intravascular Observation of Trifecta\ufe0f Bioprosthetic Valve Dysfunction Using Nonobstructive General Angioscopy"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8993-4485","authenticated-orcid":false,"given":"Jumpei","family":"Suzuki","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9713-7393","authenticated-orcid":false,"given":"Tsuyoshi","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Yoshizaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2438-1464","authenticated-orcid":false,"given":"Akira","family":"Sato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/suab083"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.03.539"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.033233"},{"key":"e_1_2_11_4_2","first-page":"623","article-title":"Structural Valve Deterioration of the Trifecta Bioprosthesis","volume":"58","author":"Fukuhara S.","year":"2020","journal-title":"European Journal of Cardio-Thoracic Surgery"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehx455"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-22-00960"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cric\/7201873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cric\/7201873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cric\/7201873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T10:18:29Z","timestamp":1787134709000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cric\/7201873"}},"subtitle":[],"editor":[{"given":"Satabdi","family":"Datta Choudhury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cric\/7201873"],"URL":"https:\/\/doi.org\/10.1155\/cric\/7201873","archive":["Portico"],"relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-02-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7201873"}}