Transcatheter Tricuspid Valve Implantation by Femoral Approach in Trivalvular Heart Disease

A man with severe rheumatic trivalvular disease was treated with surgical implantation of mechanical aortic and mitral prostheses at the age of 30 years and tricuspid bioprosthesis at the age of 50 years. At 61 years of age, he developed severe symptomatic tricuspid regurgitation due to bioprosthesi...

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Veröffentlicht in:The American journal of cardiology 2013-10, Vol.112 (7), p.1051-1053
Hauptverfasser: Ribichini, Flavio, MD, Pesarini, Gabriele, MD, PhD, Feola, Mauro, MD, Agostini, Marco, MD, Molinari, Gionata, MD, Rossi, Andrea, MD, Faggian, Giuseppe, MD, Vassanelli, Corrado, MD
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container_issue 7
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container_title The American journal of cardiology
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creator Ribichini, Flavio, MD
Pesarini, Gabriele, MD, PhD
Feola, Mauro, MD
Agostini, Marco, MD
Molinari, Gionata, MD
Rossi, Andrea, MD
Faggian, Giuseppe, MD
Vassanelli, Corrado, MD
description A man with severe rheumatic trivalvular disease was treated with surgical implantation of mechanical aortic and mitral prostheses at the age of 30 years and tricuspid bioprosthesis at the age of 50 years. At 61 years of age, he developed severe symptomatic tricuspid regurgitation due to bioprosthesis degeneration and was judged at very high risk for a third surgical approach. The investigators describe the successful transfemoral positioning of a 29-mm Edwards SAPIEN XT percutaneous valve inside the degenerated tricuspid prosthesis, with excellent acute results and no major complications. In conclusion, percutaneous valve-in-valve treatment of degenerated bioprostheses is feasible by the transfemoral route and may be of assistance in very selected patients at high surgical risk.
doi_str_mv 10.1016/j.amjcard.2013.05.043
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At 61 years of age, he developed severe symptomatic tricuspid regurgitation due to bioprosthesis degeneration and was judged at very high risk for a third surgical approach. The investigators describe the successful transfemoral positioning of a 29-mm Edwards SAPIEN XT percutaneous valve inside the degenerated tricuspid prosthesis, with excellent acute results and no major complications. In conclusion, percutaneous valve-in-valve treatment of degenerated bioprostheses is feasible by the transfemoral route and may be of assistance in very selected patients at high surgical risk.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2013.05.043</identifier><identifier>PMID: 23910430</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aortic Valve ; Bioprosthesis ; Cardiac Catheterization ; Cardiology ; Cardiovascular ; Catheters ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation - methods ; Humans ; Male ; Middle Aged ; Mitral Valve ; Prostheses ; Prosthesis Failure ; Pulmonary arteries ; Rheumatic Heart Disease ; Tricuspid Valve Insufficiency - surgery</subject><ispartof>The American journal of cardiology, 2013-10, Vol.112 (7), p.1051-1053</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. 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subjects Aortic Valve
Bioprosthesis
Cardiac Catheterization
Cardiology
Cardiovascular
Catheters
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Male
Middle Aged
Mitral Valve
Prostheses
Prosthesis Failure
Pulmonary arteries
Rheumatic Heart Disease
Tricuspid Valve Insufficiency - surgery
title Transcatheter Tricuspid Valve Implantation by Femoral Approach in Trivalvular Heart Disease
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