case_images: PMC8230156_01
case_images: PMC8230156_02
case_images: Patient 2. Transesophageal echocardiography documentation of anterior cusp prolapse (red arrow) with severe intraprosthetic regurgitation. (a) Two-dimensional color Doppler; mid-esophageal modified long axis (b) three-dimensional-Zoom, aortic short axis: augmented systolic cusp excursion (c) three-dimensional zoom, aortic long axis: diastolic cusp prolapse
case_images: JCE-31-51-g001.jpg
case_images: PMC8230156_02_JCE-31-51-g001.jpg
case_images: F1
case_images: A two-dimensional (2D) and three-dimensional (3D) TOE was performed, revealing severe eccentric intraprosthetic regurgitation due to prolapse of the anterior cusp [Figure 1].
case_images: PMC8230156_03
case_images: Patient 3. (a) Left ventricular and aortic pressure curves at catheterization: severe aortic regurgitation. (b) transcatheter aortic valve implantation valve-in-valve: good result, no significant periprosthetic leak
case_images: JCE-31-51-g002.jpg
case_images: PMC8230156_03_JCE-31-51-g002.jpg
case_images: F2
case_images: TAVI through the right femoral artery. The procedure was successfully performed (with a Medtronic Evolut R 23 mm device), without major complications, and no significant peri-prosthetic leaks [Figure 2].