Combined Structural Heart Disease Interventions to Treat a Failed Bioprosthesis

An 81-year-old woman was referred to our center for severe aortic regurgitation (AR) related to bioprosthesis degeneration. She initially had an ascending aortic aneurysm with symptomatic AR and underwent surgical implantation of a Trifecta 21-mm prosthesis (St. Jude Medical, St. Paul, Minnesota)