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Cracking a tricuspid perimount bioprosthesis to optimize a second transcatheter sapien valve‐in‐valve placement
Author(s) -
Brown Stephen C.,
Cools Bjorn,
Gewillig Marc
Publication year - 2016
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.26507
Subject(s) - medicine , tricuspid valve , heart valve , percutaneous , body orifice , balloon , cardiology , surgery , anatomy
Bioprosthetic valves degenerate over time. Transcatheter valve‐in‐valve procedures have become an attractive alternative to surgery. However, every valve increasingly diminishes the diameter of the valvar orifice. We report a 12‐year‐old female who had a previous transcatheter tricuspid valve‐in‐valve procedure; cracking the ring of a Carpentier Edwards Perimount valve by means of an ultrahigh pressure balloon allowed implantation of a further larger percutaneous valve. The advantage of this novel approach permits enlarging the inner valve diameter and may facilitate future interventions and prolong time to surgery. © 2016 Wiley Periodicals, Inc.