Percutaneous Intervention of Aortic Pseudoaneurysm and Severe Bioprosthetic Valve Regurgitation Following a Bentall Procedure

Abstract

A 77-year-old man with a history of a Bentall procedure presented with acute decompensated heart failure. Investigations revealed severe bioprosthetic aortic valve regurgitation and a large pseudoaneurysm eroding the sternum. We describe the multimodal imaging and heart team planning to stent the pseudoaneurysm with an endograft followed by transcatheter valve-in-valve implantation.