Abstract | BACKGROUND: A 64-year-old female with rheumatic heart disease and multiple prior valve replacements presented with progressive oedema, ascites and dyspnoea on exertion. INVESTIGATION: Physical examination, transthoracic echocardiography, intracardiac echocardiography, transoesophageal echocardiography, right heart cathetherisation, computed tomography. DIAGNOSIS: She had a mitral homograft and Physio ring in the tricuspid position, and presented with severe bioprosthetic tricuspid valve stenosis (mean gradient 16 mmHg) and right-sided heart failure. TREATMENT: A transcatheter 26 mm Edwards SAPIEN valve was placed in the tricuspid position, resulting in near normalisation of tricuspid valve gradient. This represents the first report of a combined valve-in-ring (VIR) and valve in a homograft valve (VIV) SAPIEN implantation.
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Authors | Scott M Lilly, Jack Rome, Saif Anwaruddin, Satya Shreenivas, Nimesh Desai, Frank E Silvestry, Howard C Herrmann, Amir Fassa, Dominique Himbert, Eric Brochet, Jean-Philippe Labbé, Jean-Pol Depoix, Ulrik Hvass, Alec Vahanian, Noa Holoshitz, Damien Kenny, Ziyad M Hijazi |
Journal | EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
(EuroIntervention)
Vol. 9
Issue 3
Pg. 407-9
(Jul 2013)
ISSN: 1969-6213 [Electronic] France |
PMID | 23872655
(Publication Type: Journal Article)
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Topics |
- Aortic Valve
(surgery)
- Bioprosthesis
- Cardiac Catheterization
(instrumentation)
- Echocardiography, Three-Dimensional
- Echocardiography, Transesophageal
- Female
- Heart Failure
(etiology, therapy)
- Heart Valve Prosthesis
- Heart Valve Prosthesis Implantation
(adverse effects, instrumentation, methods)
- Humans
- Middle Aged
- Mitral Valve
(surgery)
- Mitral Valve Annuloplasty
(adverse effects, instrumentation)
- Prosthesis Design
- Prosthesis Failure
- Severity of Illness Index
- Tomography, X-Ray Computed
- Treatment Outcome
- Tricuspid Valve
(surgery)
- Tricuspid Valve Stenosis
(diagnosis, etiology, physiopathology, therapy)
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