Practical Approach to Transcatheter Aortic Valve Implantation and Bioprosthetic Valve Fracture in a Failed Bioprosthetic Surgical Valve

Figure 1

Practical approach to ViV-TAVI, with preprocedural planning to identify and address coronary occlusion or high residual gradients after TAVI. BEV: balloon-expandable valve; SEV: self-expandable valve; THV: transcatheter heart valve; TAVI: transcatheter aortic valve implantation; ID: internal diameter; BASILICA: bioprosthetic aortic scallop intentional laceration to prevent iatrogenic coronary artery obstruction.