SUPRA-ANNULAR PLACEMENT OF BALLOON EXPANDABLE TRANSCATHETER AORTIC VALVE IN SURGICAL VALVE AND SUBSEQUENT FRACTURING OF SURGICAL ANNULUS TO ACHIEVE IDEAL HEMODYNAMICS: A NOVEL TECHNIQUE

Valve-in-Valve (VIV) transcatheter aortic valve replacement (TAVR) can be less effective and result in high residual gradient. Proper valve deployment and Bioprosthetic Valve Fracture (BVR) may facilitate in achieving adequate hemodynamics. A 75 year old male with history of CABG with bioprosthetic