Valve-in-Ring Transcatheter Heart Valve for Severe Tricuspid Regurgitation

Leigh A Cummins; Gita Mathur; Nigel S Jepson; Virag V Kushwaha

doi:10.1016/j.jaccas.2019.11.015

Valve-in-Ring Transcatheter Heart Valve for Severe Tricuspid Regurgitation

JACC Case Rep. 2019 Dec 18;1(5):853-858. doi: 10.1016/j.jaccas.2019.11.015.

Authors

Leigh A Cummins^{1

2}, Gita Mathur^{1

2}, Nigel S Jepson^{1

2}, Virag V Kushwaha^{1

2}

Affiliations

¹ Cardiology Department, Prince of Wales Hospital, Sydney, Australia.
² School of Medical Sciences, University of New South Wales, Sydney, Australia.

Abstract

We report the case of a man with recurrent decompensated right-sided heart failure secondary to severe tricuspid regurgitation after tricuspid annuloplasty. He was unfit for repeat surgical intervention and thus was considered for a valve-in-ring transcatheter heart valve. We detail the procedural complexities encountered and our approach to overcoming them. (Level of Difficulty: Advanced.).

Keywords: PVL, paravalvular leak; THV, transcatheter heart valve; VIR, valve-in-ring; treatment; tricuspid valve; valve replacement.

Publication types

Case Reports