title: Valve-in-valve in the tricuspid position for a stenosed bioprosthesis.
abstract: The strategy of transcatheter valve-in-valve implantation into failing mitral and aortic bioprosthetic valves is a documented approach. It allows one to avoid performing a high-risk repeat cardiac surgery in elderly patients with multiple comorbidities. Tricuspid valve-in-valve implantation has been documented only a few times in the literature. We report the case of a 65-year-old woman with a failing bioprosthetic tricuspid valve who had undergone 3 prior open heart operations. We attempted a transatrial transcatheter approach and successfully deployed a 29-mm Edwards Sapien balloon-expandable bioprosthesis into a severely stenotic tricuspid bioprosthesis. This case demonstrates the technical feasibility and safety of this approach.
authors.affiliation: Department of Cardiac Surgery, Rambam Medical Campus, Haifa, Israel.
authors.forename: Ziv
authors.initials: Z
authors.lastname: Beckerman
authors.forename: Oved
authors.initials: O
authors.lastname: Cohen
authors.forename: Yoram
authors.initials: Y
authors.lastname: Agmon
authors.forename: Gil
authors.initials: G
authors.lastname: Bolotin
mesh_terms: D000368:Aged; D001705:Bioprosthesis / Q000009:adverse effects*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D016896:Treatment Outcome; D014264:Tricuspid Valve Stenosis / Q000209:etiology* / Q000601:surgery*