“…Recent publications reported good results following implanted stent valves in the aortic or mitral position [ 11 , 12 ]. Since the first case of tricuspid valve-in-valve using an off-label Edwards SAPIEN valve (Edwards Lifesciences Corporation, Irvine, CA, USA) was reported, the literature on VIV implantation in failed tricuspid bioprostheses is reported in small case series and case reports [ 5 , 13 , 14 ]. Recently, registry data was reported by McElhinney, demonstrating that transcatheter tricuspid VIV implantation was hemodynamically and clinically beneficial in patients of various ages and underlying disease states.…”
Background. Redo operation for failed tricuspid bioprosthetic valves is associated with high morbidity and mortality. Transcatheter tricuspid valve-in-valve implantation has become an acceptable option for high-risk patients with a failed tricuspid bioprosthesis. We present a case of successful tricuspid valve-in-valve implantation using a J-valve in a failed tricuspid bioprosthesis position. Case Summary. A 48-year-old male, who had a failed tricuspid bioprosthesis, presented with right-side heart failure, right-to-left shunting at the atrial level, severe dyspnea, cyanosis, peripheral edema, hepatauxe, and ascites. After the interdisciplinary assessment, we successfully performed transcatheter tricuspid valve-in-valve implantation with the J-valve system. At 34-month postoperative follow-up, the patient had no symptoms of heart failure and the echocardiogram showed good valve position and well hemodynamic status. Conclusions. This case demonstrated that the J-valve system may be a new option for high-risk patients with a failed tricuspid bioprosthetic valve.
“…Recent publications reported good results following implanted stent valves in the aortic or mitral position [ 11 , 12 ]. Since the first case of tricuspid valve-in-valve using an off-label Edwards SAPIEN valve (Edwards Lifesciences Corporation, Irvine, CA, USA) was reported, the literature on VIV implantation in failed tricuspid bioprostheses is reported in small case series and case reports [ 5 , 13 , 14 ]. Recently, registry data was reported by McElhinney, demonstrating that transcatheter tricuspid VIV implantation was hemodynamically and clinically beneficial in patients of various ages and underlying disease states.…”
Background. Redo operation for failed tricuspid bioprosthetic valves is associated with high morbidity and mortality. Transcatheter tricuspid valve-in-valve implantation has become an acceptable option for high-risk patients with a failed tricuspid bioprosthesis. We present a case of successful tricuspid valve-in-valve implantation using a J-valve in a failed tricuspid bioprosthesis position. Case Summary. A 48-year-old male, who had a failed tricuspid bioprosthesis, presented with right-side heart failure, right-to-left shunting at the atrial level, severe dyspnea, cyanosis, peripheral edema, hepatauxe, and ascites. After the interdisciplinary assessment, we successfully performed transcatheter tricuspid valve-in-valve implantation with the J-valve system. At 34-month postoperative follow-up, the patient had no symptoms of heart failure and the echocardiogram showed good valve position and well hemodynamic status. Conclusions. This case demonstrated that the J-valve system may be a new option for high-risk patients with a failed tricuspid bioprosthetic valve.
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