Abstract
This is the first reported case of transcatheter aortic valve implantation (TAVI) valve in valve in a centenarian. The management of patients with severe aortic calcification using either surgical or TAVI approach is challenging. The case presented discusses a patient who required a second valve implant during a TAVI procedure due to failure of the first valve to completely deploy. The first valve developed Aortic Incompetence (AI) after an attempt to dilate. The second valve was successfully deployed with good result.