Tricuspid transcatheter valve-in-valve: an alternative for high-risk patients

• Main Author: Gaia, Diego Felipe [UNIFESP]
• Publication Date: 2012
• Other Authors: Fonseca, José Honório de Almeida Palma da [UNIFESP], Souza, Jose Augusto Marcondes de [UNIFESP], Buffolo, Enio [UNIFESP]
• Format: Article
• Language: eng
• Source: Repositório Institucional da UNIFESP
• Download full: http://dx.doi.org/10.1093/ejcts/ezr038; http://repositorio.unifesp.br/handle/11600/34640
• topic: Tricuspid valve; Surgery; Cardiac catheterization

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.