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A 76-year-old woman with a medical history of stroke, hypertension, and paroxysmal atrial fibrillation presented with symptoms of acute decompensated heart failure 1.5 years after undergoing transcatheter aortic valve replacement (TAVR) with a bioprosthetic Medtronic Core Valve (CoV) for severe aortic stenosis. Her echocardiogram showed an ejection fraction of 33% with severe paravalvular aortic …

Valve-in-valve transfemoral TAVR: Sapien 3 valve within a failed core valve bioprosthesis