A case report of isolated severe valve stenosis in a previous tricuspid valve repair: an integrated multimodality imaging and invasive haemodynamic evaluation

Abstract

Background Tricuspid valve (TV) stenosis is a very rare condition and the aetiology is primarily due to rheumatic disease, carcinoid disease, congenital heart disease, endocarditis, and following degeneration of biological valve prosthesis. Case summary We present a 45-year-old man with a rare case of symptomatic TV stenosis (TS) in a previously isolated TV repair. A meticulous multimodality diagnostic approach is presented in order to determine the severity of the TS and to evaluate the right ventricular function. Discussion This case report presents an integrated multimodality imaging and haemodynamic approach to evaluate and document the suspicion of development of a symptomatic significant stenosis in a previous TV repair. The initial TV repair was done without ring annuloplasty, because only the anterior leaflet was affected and bicuspidalization of the valve made it patent. In addition, minimizing the amount of implanted material was intended to minimize the risk of reinfection. The final treatment was performed as a TV replacement with insertion of a bioprosthesis.

Two case reports of transcatheter valve-in-valve implantation of Sapien 3 and MyVal in degenerated biological tricuspid prosthesis valves

“…A multimodality approach with both transthoracic and transoesophagal echocardiography, including 3D, as well as right heart catheterization is necessary for full evaluation of the degree of stenosis and indication for intervention. 8 …”

Pacemaker Lead–Induced Tricuspid Valve Stenosis?

“…Therefore, it is of great importance to use a multidisciplinary and multimodality approach, which can provide anatomical and functional data, to thoroughly evaluate the degree of stenosis and plan the optimal treatment strategy. 8,9 With the use of a transthoracic echocardiography we were able to establish TS as a working diagnosis for the patient. To further characterize the TS and confirm the diagnosis, 3D TEE offered a more accurate TV area and a more detailed anatomical characterization of the valve pathology.…”

“…Therefore, it is of great importance to use a multidisciplinary and multimodality approach, which can provide anatomical and functional data, to thoroughly evaluate the degree of stenosis and plan the optimal treatment strategy. 8 , 9 …”