%0 Case Reports
%T TAVI-in-homograft (TiH): open transcatheter aortic valve replacement in calcified aortic homograft case reports.
%A Gennari M
%A Giambuzzi I
%A Polvani G
%A Agrifoglio M
%J J Cardiothorac Surg
%V 14
%N 1
%D Nov 2019 27
%M 31775822
%F 1.522
%R 10.1186/s13019-019-1036-2
%X <B>BACKGROUND: </B>Redo surgery in patient who underwent aortic valve replacement with an aortic homograft can result technically challenging because of the massive calcification of the conduit.<BR><B>METHODS: </B>We present a case of a patient who underwent open surgery on cardiopulmonary bypass assistance to implant a standard transcatheter aortic bioprosthesis through aortotomy in an off-label procedure and we discuss its safety and feasibility.<BR><B>CONCLUSIONS: </B>The combination of open cardiac surgery and open trans-aortic implant of a transcatheter prosthesis may reduce the surgical risk shrinking the technical difficulties that the implantation of a standard surgical prosthesis would have given.