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Intentional bioprosthetic tricuspid valve fracture to facilitate transcatheter valve‐in‐valve deployment
Author(s) -
Karahalios Brian,
Breinholt John P.,
Little Stephen H.,
Huie Lin C.
Publication year - 2021
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.28837
Subject(s) - medicine , tricuspid valve , prosthesis , cardiology , implant , heart valve , stenosis , surgery , cardiac catheterization , hemodynamics
While transcatheter valve‐in‐valve (ViV) implantation may reduce the number of lifetime surgical reinterventions in some patients with congenital heart disease, in other patients the bioprosthetic valve ring can lead to patient‐prosthesis mismatch due to reduction of internal diameter if a transcatheter valve is implanted. A 49‐year‐old woman with multiple prior cardiac surgeries presented with heart failure due to bioprosthetic tricuspid valve stenosis. Initial predilation valvuloplasty suggested conventional ViV implant would produce patient‐prosthesis mismatch, therefore, we intentionally fractured the bioprosthetic valve ring to facilitate optimal hemodynamics with implantation of a 29 mm transcatheter valve.