title: Tricuspid transcatheter valve-in-valve: an alternative for high-risk patients.
abstract: Tricuspid valve disease is not uncommon. Some patients with tricuspid valve disease require tricuspid replacement with bioprosthesis and, over time, may require re-interventions. Transcatheter tricuspid valve-in-valve approach has emerged as an alternative to treat dysfunctional bioprosthesis. In this article, we report a case of a patient with four previous cardiac interventions presenting with tricuspid bioprosthesis dysfunction. The patient was treated with the transcatheter transatrial tricuspid valve-in-valve procedure. The procedure was successful with no residual leakage and a non-significant mean gradient. The patient recovered well and was discharged in 1 week. The procedure is a feasible alternative for high-risk patients. Selection and postoperative care are crucial for the outcome.
authors.affiliation: Department of Cardiovascular Surgery, Federal University of São Paulo, São Paulo, Brazil. drgaia@terra.com.br
authors.forename: Diego Felipe
authors.initials: DF
authors.lastname: Gaia
authors.forename: José Honório
authors.initials: JH
authors.lastname: Palma
authors.forename: José Augusto Marcondes
authors.initials: JA
authors.lastname: de Souza
authors.forename: Enio
authors.initials: E
authors.lastname: Buffolo
mesh_terms: D000368:Aged; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D014261:Tricuspid Valve / Q000601:surgery*