HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

How should I treat prosthetic tricuspid stenosis in an extreme surgical risk patient?

AbstractBACKGROUND:
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.
AuthorsScott 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
JournalEuroIntervention : 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
PMID23872655 (Publication Type: Journal Article)
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)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: