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Catheter Cardiovasc Interv. 2018 Nov 12. doi: 10.1002/ccd.27910. [Epub ahead of print]

Hybrid transcatheter tricuspid valve-in-valve placement of an Edwards Sapien XT valve in palliated hypoplastic left heart syndrome.

Author information

1
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, United Kingdom.
2
Department of Cardiovascular Surgery, Southampton General Hospital, Southampton, United Kingdom.
3
Department of Cardiology, Barts Heart Centre, London, United Kingdom.

Abstract

Tricuspid regurgitation in the context of hypoplastic left heart syndrome (HLHS) carries a significant burden of both mortality and morbidity. We report successful hybrid trans-atrial implantation of an Edwards Sapien XT valve into a dysfunctional bioprosthetic valve in the tricuspid position of a 9-year-old patient with HLHS. There was an immediate fall in the Fontan pressures combined with significant clinical improvement and the valve continues to function well nearly 3 years post implant. To the best of our knowledge, this is the first described implantation of a transcatheter valve in this specific position and anatomy.

KEYWORDS:

congenital heart disease; transcatheter valve; tricuspid regurgitation

PMID:
30419610
DOI:
10.1002/ccd.27910

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