Abstract
A 63 year old male with congenital bicuspid aortic valve disease and a
complex surgical history which includes a Ross procedure complicated by
cardiac arrest requiring emergency coronary artery bypass graft surgery,
multiple subsequent sternotomies to treat a failed pulmonic homograft
and pseudoaneurysm repair of the left and right ventricular outflow
tracts (LVOT/RVOT), bioprosthetic aortic valve replacement, and aortic
valve endocarditis who presented with worsening heart failure symptoms
secondary to bioprosthetic aortic valve failure and recurrent pulmonic
valve stenosis successfully treated with transcatheter intervention.