We are presenting a case report of failed valve-in-valve treatment of severe aortic stenosis. A control ultrasonography after TAVI implantation revealed a severe aortic regurgitation of the graft which was subsequently unresolved with postimplantation dilatation. Second TAVI was implanted with cranial dislocation to the aortic root. Patient underwent a CT examination to clarify the TAVI in TAVI position. Patient underwent a surgical resection of TAVI with implantation of biological aortic valve prosthesis. In situations where TAVI treatment fails or is complicated beyond the possibility of endovascular repair, surgical intervention despite its higher risks is the preferred choice.

1st Faculty of Medicine Charles University Prague Czech Republic

2nd Department of Internal Medicine Department of Cardiology and Angiology General Teaching Hospital Prague Czech Republic

2nd Surgical Clinic of Cardiovascular Surgery General Teaching Hospital Prague Czech Republic

Clinic of Anesthesiology Resuscitation and Intensive Medicine General Teaching Hospital Prague Czech Republic

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