Partial Removal of Mechanical Aortic Valve to Enable Direct Transcatheter Valve Implantation During Left Ventricular Assist Device Placement.

In patients with a mechanical aortic valve in need of left ventricular assist device (LVAD) support, replacement with a biological valve should be considered. We present a case of partial mechanical valve explantation followed by direct transcatheter valve replacement during LVAD implantation. This approach offers a simpler and faster alternative to conventional valve replacement, with reduced cross-clamp time.