TAVR explant demands multidisciplinary expertise
Judicious application yields a 99.7% repair rate and 0.04% mortality
Large single-center series demonstrates safety and efficacy for extending procedure
Preoperative Impella 5.5 placement can provide a critical safety net for high-risk patients
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Cleveland Clinic series supports re-repair as a favored option regardless of failure timing
Cleveland Clinic study points to need for new strategies to curb addiction relapse
Recurrences were rare and survival robust in large Cleveland Clinic study
Concomitant AF ablation and LAA occlusion strongly endorsed during elective heart surgery
Residual AR related to severe preoperative AR increases risk of progression, need for reoperation
Volume-based experience and judicious patient selection are central to success
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