{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:53Z","timestamp":1731043433314,"version":"3.28.0"},"reference-count":9,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>Transcatheter aortic valve replacement is a well-established procedure for older patients with symptomatic, severe aortic stenosis. However, data are lacking on its durability and long-term complications, particularly in young patients and patients treated for aortic valve regurgitation. This article describes the case of a 27-year-old woman with complex congenital cardiovascular disease who, after 4 previous aortic valve replacement procedures, presented with structural deterioration of her most recent replacement valve, which had been placed by transcatheter aortic valve replacement inside a failed aortic root homograft 6 years earlier. After the patient had undergone this transcatheter aortic valve replacement procedure to treat aortic valve regurgitation related to her degenerated aortic root homograft, she became pregnant and successfully carried her high-risk pregnancy to term. However, the replacement valve deteriorated during the late stages of pregnancy, resulting in substantial hemodynamic changes between the first trimester and the postpartum period. To avoid repeat sternotomy, a redo transcatheter valve-in-valve replacement procedure procedure was performed through the right carotid artery. Because the patient wanted to have more children and therefore avoid anticoagulation, a SAPIEN 3 transcatheter valve (Edwards Lifesciences) was placed as a bridge to a future, more-durable aortic root replacement. The result in this case suggests that in patients with complex adult congenital pathology, transcatheter aortic valve replacement can be used as a temporizing bridge to subsequent, definitive aortic valve repair.<\/jats:p>","DOI":"10.14503\/thij-22-7874","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T14:22:32Z","timestamp":1678803752000},"source":"Crossref","is-referenced-by-count":1,"title":["Transcatheter Aortic Valve-in-Valve-in-Valve Replacement in a Young Woman With Transcatheter Structural Valve Deterioration Within a Degenerated Aortic Root Homograft"],"prefix":"10.14503","volume":"50","author":[{"given":"Jonathan C.","family":"Hong","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Orozco-Sevilla","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose G.","family":"Diez","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas"},{"name":"Department of Cardiology, Texas Heart Institute, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Coselli","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas"},{"name":"Cardiovascular Research Institute, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"2","key":"i1526-6702-50-2-e227874-b1","series-title":"J Am Coll Cardiol.","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/j.jacc.2017.03.011","article-title":"2017 AHA\/ACC focused update of the 2014 AHA\/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines","volume":"70","year":"2017","unstructured":"Nishimura\n              RA,\n            \n            \n              Otto\n              CM,\n            \n            \n              Bonow\n              RO,\n            \n          \n      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Transcatheter aortic valve-in-valve replacement instead of a 4th sternotomy in a 21-year-old woman with aortic homograft failure.\n\t\t\t\t\tTex Heart Inst J.2016;43(4):334\u2013337.\n\t\t\t\t\tdoi:10.14503\/THIJ-15-5128"},{"issue":"5","key":"i1526-6702-50-2-e227874-b4","series-title":"J Am Coll Cardiol.","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1016\/j.jacc.2022.06.002","article-title":"Standardized definitions for bioprosthetic valve dysfunction following aortic or mitral valve replacement: JACC state-of-the-art review","volume":"80","year":"2022","unstructured":"Pibarot\n              P,\n            \n            \n              Herrmann\n              HC,\n            \n            \n              Wu\n              C,\n            \n          \n          .\n\t\t\t\t\tStandardized definitions for bioprosthetic valve dysfunction following aortic or mitral valve replacement: JACC state-of-the-art review.\n\t\t\t\t\tJ Am Coll Cardiol.2022;80(5):545\u2013561.\n\t\t\t\t\tdoi:10.1016\/j.jacc.2022.06.002"},{"issue":"5","key":"i1526-6702-50-2-e227874-b5","series-title":"J Am Coll Cardiol.","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.jacc.2020.06.010","article-title":"Transcatheter valve-in-valve aortic valve replacement as an alternative to surgical re-replacement","volume":"76","year":"2020","unstructured":"Deharo\n              P,\n            \n            \n              Bisson\n              A,\n            \n            \n              Herbert\n              J,\n            \n          \n          .\n\t\t\t\t\tTranscatheter valve-in-valve aortic valve replacement as an alternative to surgical re-replacement.\n\t\t\t\t\tJ Am Coll Cardiol.2020;76(5):489\u2013499.\n\t\t\t\t\tdoi:10.1016\/j.jacc.2020.06.010"},{"issue":"22","key":"i1526-6702-50-2-e227874-b6","series-title":"J Am Coll 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