Transjugular Tricuspid Valve-in-Valve Implantation

A 60 year-old female underwent tricuspid valve replacement in 2002. Post-operative recovery was complicated by severe post-pericardiotomy-syndrome. Seven years later she underwent transcatheter valve-in-valve implantation through the right jugular vein because of early prosthesis deterioration. More...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2013-12, Vol.22 (12), p.1036-1039
Main Authors: Salizzoni, Stefano, MD, La Torre, Michele, MD, Barbero, Cristina, MD, Marra, Walter Grosso, MD, Moretti, Claudio, MD, D’Amico, Maurizio, MD, Rinaldi, Mauro, MD
Format: Article
Language:English
Subjects:
Cardiovascular
Echocardiography, Transesophageal
Female
Heart Valve Prosthesis Implantation
Humans
Jugular Veins
Middle Aged
Patent foramen ovale
TAVI
Transcatheter
Transjugular
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnostic imaging
Tricuspid Valve Insufficiency - surgery
Valve-in-valve
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Summary:A 60 year-old female underwent tricuspid valve replacement in 2002. Post-operative recovery was complicated by severe post-pericardiotomy-syndrome. Seven years later she underwent transcatheter valve-in-valve implantation through the right jugular vein because of early prosthesis deterioration. Moreover intra-operative transoesophageal echocardiography showed an important right-to-left shunt through the patent foramen ovale that immediately disappeared after the deployment of a 29-mm Sapien-XT. The patient had an immediate and dramatic improvement in day-by-day activities. This case shows that tricuspid valve deterioration can be safely and successfully treated through this approach.
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2013.04.113