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Percutaneous tricuspid valve‐In‐ring replacement for the treatment of recurrent severe tricuspid regurgitation
Author(s) -
Condado Jose,
Leonardi Robert,
Babaliaros Vasilis
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25980
Subject(s) - medicine , percutaneous , regurgitation (circulation) , tricuspid valve , tricuspid valve insufficiency , cardiology , valve replacement , surgery , radiology , stenosis
Percutaneous tricuspid valve‐in‐ring replacement can be an alternative to surgery for high‐risk patients with symptomatic severe tricuspid regurgitation that recurs after surgical ring repair. Practitioners must pay attention to the specific technical details associated with this procedure that include: using the ring as a fluoroscopic landmark, sizing the valve area with multi‐modality imaging, choosing the appropriate device based on the patients anatomy, and dealing with the inevitable paravalvular leak (created by the ring deformation in the absence of valve‐specific devices). Our case demonstrates that percutaneous tricuspid valve‐in‐ring replacement is a feasible treatment that can result in both hemodynamic and symptomatic improvement. © 2015 Wiley Periodicals, Inc.