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- Title
Transcatheter tricuspid valve-in-valve implantation for very early bioprosthetic tricuspid stenosis secondary to pacemaker lead entrapment: a case report.
- Authors
Shaukat, Muhammad Hamza Saad; Stys, Julia; Stys, Adam; Stys, Tomasz
- Abstract
Background Tricuspid stenosis (native and prosthetic) is rare. Redo-sternotomy for isolated tricuspid replacement is associated with a higher risk. The efficacy and durability of transcatheter valve implantation for severe tricuspid stenosis are unclear. Case summary Successful tricuspid valve-in-valve implantation (Edwards 26 mm Ultra) was performed to exteriorize a retained, unextractable pacemaker lead causing very early surgical bioprosthetic valve dysfunction in a 66-year-old Caucasian woman. The original indication for surgical replacement was pacemaker lead-related severe tricuspid regurgitation. History of CABG and subsequent surgical replacement rendered the risk of a third sternotomy and open-heart surgery prohibitive. Conclusion Successful reduction in the severity of bioprosthetic tricuspid stenosis and improvement of right heart failure with transcatheter valve-in-valve implantation was observed. Percutaneous tricuspid valve implantation could be considered an alternative to redo-sternotomy for severe bioprosthetic tricuspid stenosis.
- Subjects
TRICUSPID valve; TRICUSPID valve insufficiency; BIOPROSTHETIC heart valves; STENOSIS; TRICUSPID valve diseases; CARDIAC surgery; SURGICAL indications
- Publication
European Heart Journal Case Reports, 2022, Vol 6, Issue 7, p1
- ISSN
2514-2119
- Publication type
Article
- DOI
10.1093/ehjcr/ytac251