title: Transjugular tricuspid valve-in-valve implantation.
abstract: A 60 year-old female underwent tricuspid valve replacement in 2002. Post-operative recovery was complicated by severe post-pericardiotomy-syndrome. Seven years later she underwent transcatheter valve-in-valve implantation through the right jugular vein because of early prosthesis deterioration. Moreover intra-operative transoesophageal echocardiography showed an important right-to-left shunt through the patent foramen ovale that immediately disappeared after the deployment of a 29-mm Sapien-XT. The patient had an immediate and dramatic improvement in day-by-day activities. This case shows that tricuspid valve deterioration can be safely and successfully treated through this approach.
authors.affiliation: University of Torino, Department of Surgical Sciences, Città della Salute e della Scienza, San Giovanni Battista Hospital "Molinette", Corso Bramante 88, 10126 Torino, Italy. Electronic address: salizzonis@gmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Salizzoni
authors.forename: Michele
authors.initials: M
authors.lastname: La Torre
authors.forename: Cristina
authors.initials: C
authors.lastname: Barbero
authors.forename: Walter Grosso
authors.initials: WG
authors.lastname: Marra
authors.forename: Claudio
authors.initials: C
authors.lastname: Moretti
authors.forename: Maurizio
authors.initials: M
authors.lastname: D'Amico
authors.forename: Mauro
authors.initials: M
authors.lastname: Rinaldi
mesh_terms: D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007601:Jugular Veins; D008875:Middle Aged; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery
keywords: Patent foramen ovale; TAVI; Transcatheter; Transjugular; Valve-in-valve