title: Transatrial stent-valve implantation in a stenotic tricuspid valve bioprosthesis.
abstract: A 69-year-old man presented with symptoms of right heart failure due to stenosis of a tricuspid valve bioprosthesis. Echocardiography revealed right atrial dilatation and an estimated tricuspid valve area of 0.4 cm2. Because of advanced poor general condition and comorbidities, he was found unfit for conventional reoperation. Instead, transcatheter transatrial stent-valve implantation through a right thoracotomy was scheduled. The procedure resulted in a markedly improved clinical condition and an increased valve area measured to 2.5 cm2. In conclusion, transcatheter transatrial stent-valve implantation in stenotic valves is technically feasible and may lead to substantial improvement of the clinical condition.
authors.affiliation: Department of Cardiothoracic Surgery, Aarhus University Hospital, Skejby, Denmark. hhmn@kirurgi.org
authors.forename: Hans Henrik Møller
authors.initials: HH
authors.lastname: Nielsen
authors.forename: Henrik
authors.initials: H
authors.lastname: Egeblad
authors.forename: Kaj-Erik
authors.initials: KE
authors.lastname: Klaaborg
authors.forename: Vibeke Elisabeth
authors.initials: VE
authors.lastname: Hjortdal
authors.forename: Leif
authors.initials: L
authors.lastname: Thuesen
mesh_terms: D000368:Aged; D001705:Bioprosthesis / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000379:methods*; D015150:Echocardiography, Doppler; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006325:Heart Atria; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D011788:Quality of Life; D019233:Retreatment / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D014264:Tricuspid Valve Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*