title: Transfemoral access for valve in valve implantation of an Edwards Sapien XT valve in a stenotic tricuspid bioprosthesis under fluoroscopic guidance.
abstract: A 53-year-old man presented with a high grade stenotic tricuspid bioprosthesis and an inoperable state because of progressive lung disease. Valve replacement was performed transfemorally under local anaesthesia without rapid pacing. Valve positioning was facilitated by the radiopaque frame of the degenerated bioprosthesis. Echocardiography revealed a decrease of peak tricuspid valve gradient from 18 to 8 mm Hg. Valve-in-valve implantation of an Edwards Sapien XT valve in a failing tricuspid bioprosthesis is feasible via transfemoral access without general anaesthesia or rapid pacing.
authors: Department of Cardiology, Grosshadern, University of Munich, Munich, Germany. martin.greif@med.uni-muenchen.de
authors: Martin
authors: M
authors: Greif
authors: Rene
authors: R
authors: Schramm
authors: Gerhard
authors: G
authors: Steinbeck
authors: Christian
authors: C
authors: Hagl
authors: Christoph
authors: C
authors: Schmitz
authors: Christian
authors: C
authors: Kupatt
mesh_terms: D001705:Bioprosthesis / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000379:methods*; D004452:Echocardiography; D005263:Femoral Artery / Q000601:surgery*; D005471:Fluoroscopy; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*; D014264:Tricuspid Valve Stenosis / Q000601:surgery*