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. 2021 Oct 31;10(21):5140. doi: 10.3390/jcm10215140

Table 9.

Decision Making Algorithm. Valve-in-Valve.

Not mentioned by guidelines
Pros Cons
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    Ultimate alternative for inoperable patients with biological prothesis already in aortic position.

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    Low coronary ostia

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    Narrow sinuses of Valsalva

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    Tall leaflets

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    High supra-annular position

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    High risk of PPM