Korean Circ J.  2018 Sep;48(9):857-860. 10.4070/kcj.2018.0108.

Successful Transcatheter Aortic Valve Replacement for Severe Aortic Regurgitation after CARVAR Operation

  • 1Cardiovascular Center, Korea University Anam Hospital, Seoul, Korea. ycw717@naver.com
  • 2Cardiovascular Research Center, Hadassah Hebrew University Medical Center, Jerusalem, Israel.


No abstract available.

MeSH Terms

Aortic Valve Insufficiency*
Transcatheter Aortic Valve Replacement*


  • Figure 1 Pre-procedural CT findings. (A, B) No calcification of aortic leaflets and annulus. (C, D) Outer strip ring used in the CARVAR operation tightening the aorta. CARVAR = Comprehensive Aortic Root and VAlve Repair; CT = computed tomography.

  • Figure 2 Aortogram during the TAVR procedures. (A) TAVR using the outer strip ring as an anchoring point. (B) Middle part between outflow and waist of 29 mm Evolut™ R valve was seated at the outer strip ring. Arrows indicate the location of the outer strip ring used in CARVAR operation. CARVAR = Comprehensive Aortic Root and VAlve Repair; TAVR = transcatheter aortic valve replacement.

  • Figure 3 Chest radiography of pre- and post-TAVR. Cardiothoracic ratio decreased from 67.4% to 57.2%. TAVR = transcatheter aortic valve replacement.


1. Roy DA, Schaefer U, Guetta V, et al. Transcatheter aortic valve implantation for pure severe native aortic valve regurgitation. J Am Coll Cardiol. 2013; 61:1577–1584.
2. Hahm SY, Choo SJ, Lee JW, et al. Novel technique of aortic valvuloplasty. Eur J Cardiothorac Surg. 2006; 29:530–536.
3. Bae JM, Shin E, Heo DS. Safety of comprehensive aortic root and valve repair surgery: a retrospective outcomes research by national evidence-based health care collaborating agency, Korea. Korean Circ J. 2012; 42:769–771.
4. Dvir D, Webb J, Brecker S, et al. Transcatheter aortic valve replacement for degenerative bioprosthetic surgical valves: results from the global valve-in-valve registry. Circulation. 2012; 126:2335–2344.
5. Webb JG, Htun N. Transcatheter options for the treatment of noncalcified aortic regurgitation. JACC Cardiovasc Interv. 2015; 8:1850–1853.
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