case_images: PMC11195028_01
case_images: Pre-operative Chest-X Ray shows cephalization of upper lobe vessels and Kerley A and B lines suggesting fluid overload.
case_images: acc-11-02-10287-g001.jpg
case_images: PMC11195028_01_acc-11-02-10287-g001.jpg
case_images: f1
case_images: The chest X-ray (CXR) reported an increased cardiothoracic ratio with pulmonary vascular congestion (Figure 1).
case_images: Aortic root after excision of the valves.
case_images: acc-11-02-10287-g002.jpg
case_images: PMC11195028_01_acc-11-02-10287-g002.jpg
case_images: f2
case_images: We transected the ascending aorta at the level of the pulmonary artery bifurcation to visualize the ViV prosthesis and found the two prostheses densely adherent to the aortic intima (Figure 2).
case_images: Explanted TAVR valves.
case_images: acc-11-02-10287-g003.jpg
case_images: PMC11195028_01_acc-11-02-10287-g003.jpg
case_images: f3
case_images: We folded the valves, removed the explant, and native leaflets and decalcified the annulus, and sent the explant and the native valve for culture and biopsy (Figure 3).
case_images: Post-operative Chest X-Ray shows improvement in aeration and absence of pulmonary vascular congestion.
case_images: acc-11-02-10287-g004.jpg
case_images: PMC11195028_01_acc-11-02-10287-g004.jpg
case_images: f4
case_images: Post-operative CXR reported normal with no evidence of pulmonary edema, pericardial and pleural effusion (Figure 4).