Perfecting TAVR Removal | Skills Sharpening With Vince Gaudiani

The surgical operation to remove transcatheter aortic valve replacements (TAVR) and reconstruct the left ventricular outflow tract will become an increasingly important operation to perform well as more TAVRs are implanted. The initial results from performing this operation have been disappointing, with mortality rates exceeding 16 percent. More recent data showed a series with a 5.5 percent mortality rate, which is still considered high.  

Several factors contribute to these unsatisfactory surgical outcomes. First, it is a new operation, and surgeons have limited experience with it. Second, some patients, particularly those with ruptured annuli, come to the operating room in extremis. Third, this operation presents two separate challenges that are linked—safely removing the TAVR and reconstructing the left ventricular outflow tract, given the effects the TAVR has had on it. 

CTSNet invites you to participate in one of three live learning roundtable discussions on the technical aspects of aortic valve replacement after TAVR. Nine video cases of TAVR removal and left ventricular outflow tract reconstruction are presented on this page for participants to view in numerical order.  

After viewing all videos, join cardiac surgeon and CTSNet Senior Editor—Education Vince Gaudiani live to discuss the techniques used in these surgeries. The goal is to share insights and techniques, answer questions, learn from each other, and improve outcomes for this procedure.  

The three live learning roundtable events will take place on November 6, 2025, at three different times to accommodate participants in multiple regions of the world. Click on one of the three links below to register for your preferred session. Join Dr. Gaudiani for this important and free educational event. 

View Webinar Recordings

View the TAVR Removal Videos (in numerical order): 

1. Aortic and Mitral Replacement With Double Patch Repair
2. TAVR and SAVR Removal With Left Ventricular Outflow Reconstruction 
3. Annular Rupture Repair After TAVR
4. Aortic Root Reconstruction in Endocarditis After TAVR
5. TAVR Removal, Surgical AVR, and Ascending Aortic Replacement
6. Excision of TAVR and AVR With LVOT Enlargement
7. Redo AVR and Tricuspid Replacement After Previous Mitral Replacement and TAVR
8. Excision of a Six-Year-Old Evolut CoreValve TAVR  
9. TAVR Explant After CABG With MVR

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