We report on a 50-year-old female patient, with several severe comorbidities and high-surgical risk, in whom we successfully performed a simultaneous transcatheter pulmonary and tricuspid valve-in-ring implantation to treat both bioprosthetic pulmonary valve dysfunction and native torrential tricuspid valve regurgitation, the latter previously managed with a Carpentier annuloplasty ring.
Keywords: Transcatheter valve implantation; congenital heart disease; percutaneous pulmonary valve implantation; tricuspid valve regurgitation; valve-in-ring.