Successful Aortic Valve Replacement After Transcatheter Aortic Valve Implantation (TAVI) Following Initial Surgical Aortic Valve Replacement (SAVR): A Case Report

Majed Tolah; Osama A. Abdulrahman; Ahmed Mohamed Shaban; Amna M. Qawalh; Hasan I. Sandogji

doi:10.12659/AJCR.949438

16 September 2025 : Case report Saudi Arabia

Successful Aortic Valve Replacement After Transcatheter Aortic Valve Implantation (TAVI) Following Initial Surgical Aortic Valve Replacement (SAVR): A Case Report

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care, Educational Purpose (only if useful for a systematic review or synthesis)

Majed Tolah

^{ABCDEFG 1*}, Osama A. Abdulrahman^{ABCDEFG 1}, Ahmed Mohamed Shaban^{ABCDEFG 2}, Amna M. Qawalh^{ABCDEFG 3}, Hasan I. Sandogji^{ABCDEFG 1}

DOI: 10.12659/AJCR.949438

Am J Case Rep 2025; 26:e949438

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Figure 1 Intraoperative specimen showing the valve-in-valve TAVR configuration, with the transcatheter valve seated within the prior surgical bioprosthesis. The preserved leaflet structure suggests that patient–prosthesis mismatch (PPM), rather than intrinsic degeneration, contributed to the recurrent stenosis.

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Successful Aortic Valve Replacement After Transcatheter Aortic Valve Implantation (TAVI) Following Initial Surgical Aortic Valve Replacement (SAVR): A Case Report

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