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Eur J Cardiothorac Surg. 2012 Mar;41(3):696-8. doi: 10.1093/ejcts/ezr038.

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

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Department of Cardiovascular Surgery, Federal University of São Paulo, São Paulo, Brazil.


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.

[Indexed for MEDLINE]

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