Surg. Planning For Bioprosthetic Implantation-A View to Future Transcatheter Valve-in-Valve Implants

Joining us today to discuss Surgical Planning for Bioprosthetic Implantation with a View to Future Transcatheter Valve-in-Valve Implantation is Juan A. Crestanello, M.D., chair of the department of cardiovascular medicine, cardiovascular surgery, and the professor of surgery at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:
• How often ViV is performed compared with redo AVR?
• What are the limitation that prevent performance of ViV?
• What is the risk and who is at risk for coronary obstruction during ViV?
• What is the risk of patient prosthesis mismatch? 
• What are the measures you take when performing a surgical AVR to allow for valve in valve in the future?