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This article discusses the use of off-label transcatheter aortic valve-in-valve implantation in patients who have undergone a bioprosthetic Bentall procedure. It presents a case study and reviews the literature on the technical aspects of the procedure. The article highlights the challenges faced by operators and emphasizes the importance of patient selection and rigorous imaging analysis in preprocedure planning. Several studies are summarized, examining factors such as age, surgical risk score, and success rates. The document concludes by acknowledging the need to consider multiple technical factors for the safety and success of the procedure. [Extracted from the article]