CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2017; 06(01): e29-e31
DOI: 10.1055/s-0037-1606345
Case Report Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Transcatheter Tricuspid Valve-In-Ring and Aortic Valve-In-Valve Implantation

Daniel Reichart
1   Department of Cardiovascular Surgery, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Niklas Schofer
2   Department of General and Interventional Cardiology, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Florian Deuschl
2   Department of General and Interventional Cardiology, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Andreas Schaefer
1   Department of Cardiovascular Surgery, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Stefan Blankenberg
2   Department of General and Interventional Cardiology, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Hermann Reichenspurner
1   Department of Cardiovascular Surgery, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Ulrich Schaefer
2   Department of General and Interventional Cardiology, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
,
Lenard Conradi
1   Department of Cardiovascular Surgery, Universitätsklinikum Hamburg–Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

31 March 2017

19 July 2017

Publication Date:
18 September 2017 (online)

Abstract

Background Transcatheter heart valve (THV) therapies have shown to be an alternative to surgical valve replacement, especially in high-risk patients requiring redo surgery. However, reports of transcatheter-based interventions in tricuspid valve position are scarce.

Case Description Here, we report a case of successful concomitant transcatheter aortic valve-in-valve (ViV) and tricuspid valve-in-ring (ViR) procedures using a 23-mm CoreValve Evolut R THV (Medtronic, Inc., Minneapolis, Minnesota, United States) in aortic position and a 29-mm SAPIEN3 (Edwards Lifesciences, Inc., Irvine, California, United States) THV in tricuspid position.

Conclusion This case demonstrates feasibility of concomitant transcatheter aortic ViV and tricuspid ViR procedures.

 
  • References

  • 1 Phan K, Zhao DF, Wang N, Huo YR, Di Eusanio M, Yan TD. Transcatheter valve-in-valve implantation versus reoperative conventional aortic valve replacement: a systematic review. J Thorac Dis 2016; 8 (01) E83-E93
  • 2 Conradi L, Silaschi M, Seiffert M. , et al. Transcatheter valve-in-valve therapy using 6 different devices in 4 anatomic positions: clinical outcomes and technical considerations. J Thorac Cardiovasc Surg 2015; 150 (06) 1557-1565 ; 1567.e1–1567.e3; discussion, 1565–1567
  • 3 Rogers JH, Bolling SF. The tricuspid valve: current perspective and evolving management of tricuspid regurgitation. Circulation 2009; 119 (20) 2718-2725
  • 4 Onorati F, Perrotti A, Reichart D. , et al. Surgical factors and complications affecting hospital outcome in redo mitral surgery: insights from a multicentre experience. Eur J Cardiothorac Surg 2016; 49 (05) e127-e133
  • 5 Boldt J, Zickmann B, Thiel A, Dapper F, Hempelmann G. Age and right ventricular function during cardiac surgery. J Cardiothorac Vasc Anesth 1992; 6 (01) 29-32
  • 6 Rodés-Cabau J, Hahn RT, Latib A. , et al. Transcatheter Therapies for Treating Tricuspid Regurgitation. J Am Coll Cardiol 2016; 67 (15) 1829-1845
  • 7 Aboulhosn J, Cabalka AK, Levi DS. , et al. Transcatheter valve-in-ring implantation for the treatment of residual or recurrent tricuspid valve dysfunction after prior surgical repair. JACC Cardiovasc Interv 2017; 10 (01) 53-63
  • 8 Sideris S, Drakopoulou M, Oikonomopoulos G. , et al. Left ventricular pacing through coronary sinus is feasible and safe for patients with prior tricuspid valve intervention. Pacing Clin Electrophysiol 2016; 39 (04) 378-381