Outcomes after transcatheter valve-in-valve implantation using a balloon-expandable Edwards Sapien valve in patients with degenerated Freestyle aortic bioprosthesis

We describe the case of a 38-year-old man with a history of metastatic testicular cancer who had undergone multiple thoracic surgical procedures, including tricuspid valve replacement with a bioprosthetic valve as a result of tricuspid involvement of his malignancy. He presented at our outpatient cardiology clinic with worsening fatigue, shortness of breath, and peripheral edema, investigation of which revealed severe tricuspid bioprosthesis stenosis with central regurgitation. Because of the patient's medical history, he was considered to be a high-risk surgical candidate. Therefore, transcatheter tricuspid valve-in-valve implantation of a 26-mm Edwards Sapien® valve was attempted through a transjugular approach. The procedure restored tricuspid valvar competence and substantially improved the patient's symptoms. We discuss the technical aspects of this case and briefly review the usefulness of the valve-in-valve technique in the tricuspid position.

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Valve-in-Valve in the Tricuspid Position for a Stenosed Bioprosthesis

The Heart Surgery Forum ◽

10.1532/hsf98.20121106 ◽

2015 ◽

Vol 16 (2) ◽

pp. 96 ◽

Cited By ~ 5

Author(s):

Ziv Beckerman ◽

Oved Cohen ◽

Arthur Kerner ◽

Ariel Roguin ◽

Avishai Ziser ◽

...

Keyword(s):

Cardiac Surgery ◽

Tricuspid Valve ◽

Open Heart ◽

Technical Feasibility ◽

Edwards Sapien ◽

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation ◽

Bioprosthetic Valves ◽

Surgery In Elderly

The strategy of transcatheter valve-in-valve implantation into failing mitral and aortic bioprosthetic valves is a documented approach. It allows one to avoid performing a high-risk repeat cardiac surgery in elderly patients with multiple comorbidities. Tricuspid valve-in-valve implantation has been documented only a few times in the literature. We report the case of a 65-year-old woman with a failing bioprosthetic tricuspid valve who had undergone 3 prior open heart operations. We attempted a transatrial transcatheter approach and successfully deployed a 29-mm Edwards Sapien balloon-expandable bioprosthesis into a severely stenotic tricuspid bioprosthesis. This case demonstrates the technical feasibility and safety of this approach.

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Emergency transfemoral aortic valve-in-valve implantation with the balloon-expandable Edwards–Sapien valve

Journal of Cardiovascular Medicine ◽

10.2459/jcm.0b013e32832fd3ea ◽

2009 ◽

Vol 10 (12) ◽

pp. 936-939 ◽

Cited By ~ 5

Author(s):

Maurizio Taramasso ◽

Francesco Maisano ◽

Iassen Michev ◽

Enrica Dorigo ◽

Paolo Denti ◽

...

Keyword(s):

Aortic Valve ◽

Edwards Sapien ◽

Edwards Sapien Valve ◽

Valve In Valve ◽

Valve Implantation

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TRANSCATHETER VALVE-IN-VALVE IMPLANTATION OF AN EDWARDS-SAPIEN 3 IN THE TRICUSPID POSITION FOR SEVERE BIOPROSTHETIC TRICUSPID STENOSIS

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(18)32846-8 ◽

2018 ◽

Vol 71 (11) ◽

pp. A2305

Author(s):

Carly Fabrizio ◽

Pragya Ranjan ◽

Neil Wimmer ◽

Avinash Chandra

Keyword(s):

Edwards Sapien ◽

Valve In Valve ◽

Sapien 3 ◽

Transcatheter Valve ◽

Valve Implantation

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Transcatheter valve-in-valve implantation of the 'MedLab-KT' prosthesis

Angiology and vascular surgery ◽

10.33529/angio2020114 ◽

2020 ◽

Vol 26 (1) ◽

pp. 135

Author(s):

A. B. Voevodin ◽

A. A. Allenov ◽

V. V. Bazylev

Keyword(s):

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation

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A valve-in-valve transcatheter aortic valve implantation with commissural alignment using advanced imaging reconstruction: a case report

Clinical Cardiology and Cardiovascular Interventions ◽

10.31579/2641-0419/090 ◽

2020 ◽

Vol 3 (10) ◽

pp. 01-05

Author(s):

Marco Angelillis

Keyword(s):

Aortic Valve ◽

Severe Aortic Stenosis ◽

Coronary Intervention ◽

Easy Access ◽

Surgical Aortic Valve Replacement ◽

Transcatheter Aortic Valve ◽

Structural Valve Deterioration ◽

Valve In Valve ◽

Transcatheter Valve ◽

Valve Implantation

Transcatheter valve in valve (ViV) implantation actually represents a valid alternative to surgical reinterventions in patients with previous surgical aortic valve replacement (AVR). In patients less than 80 years old, it is crucial to correctly position the new valve leaving a feasible and easy access to coronary ostia, both for future percutaneous coronary intervention (PCI) than for a future possible TAVinTAV procedure. We report a 71 year old man with prior AVR presented with structural valve deterioration (SVD) leading to severe aortic stenosis. In order to guarantee comfortable coronary access we aligned, the commissures of the new percutaneous valve with the ones of the surgical bioprothesis by reconstructing the headframes of the surgical bioprosthesis with computer tomography (CT) and fluoro-CT.

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