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Chennai Doctors Perform TAVR-in-TAVR Heart Procedure
22 Jan
Summary
- A 78-year-old received a complex TAVR-in-TAVR-in-SAVR procedure.
- Doctors implanted a new valve inside two previous failing valves.
- The procedure utilized bioprosthetic valve fracture and cerebral protection.

In a remarkable feat of medical innovation, doctors at Kauvery Hospital, Alwarpet, Chennai, successfully completed a TAVR-in-TAVR-in-SAVR procedure on January 22, 2026. The patient, a 78-year-old resident, had a history of aortic valve disease and multiple prior interventions.
The procedure was intricate due to a bicuspid aortic valve and an enlarged main heart artery. Complicating matters further were the failures of a previously implanted transcatheter valve and a surgical valve. Open-heart surgery was deemed too high-risk for the patient.
A multidisciplinary team utilized advanced imaging to plan and execute the transcatheter solution. A new valve was implanted within the existing structures. Bioprosthetic valve fracture was employed to enhance valve expansion and blood flow, alongside dual cerebral protection devices to mitigate stroke risk.




