title: Concomitant transatrial valve-in-valve in pulmonal and tricuspid position.
abstract: Transcatheter valve implantation in the pulmonary valve has been established as a valuable treatment option for patients with conduit failure in the right ventricular outflow tract, most often with the use of the Melody valve. Transcatheter valve-in-valve (VIV) implantation in the tricuspid position is restricted to single case reports, most often with the implantation of the Edwards SAPIEN valve. A 67 years old male with carcionoid syndrome and previously implanted bioprosthesis in the pulmonary and tricuspid valve now presented with worsening symptoms due to degeneration of both bioprostheses. The risk of new open surgery was deemed to high. We report of the first transatrial double VIV implantation using the balloon expandable Edwards SAPIEN XT in pulmonary and tricuspid position.
authors.affiliation: Department of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway.
authors.forename: Gry
authors.initials: G
authors.lastname: Dahle
authors.affiliation: Department of Cardiothoracic Surgery, Oslo University Hospital, Oslo, Norway.
authors.forename: Kjell-Arne
authors.initials: KA
authors.lastname: Rein
authors.affiliation: Department of Cardiothoracic Surgery, Guys and St. Thomas' Hospital, London, United Kingdom.
authors.forename: Vinayak
authors.initials: V
authors.lastname: Bapat
mesh_terms: D000368:Aged; D001705:Bioprosthesis; D006328:Cardiac Catheterization / Q000295:instrumentation*; D018618:Echocardiography, Doppler, Color; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*
keywords: deteroriated bioprosthesis; redo surgery; transcatheter treatment