Keyword: endovascular surgery

Off-Label Percutaneous Solution for Primary Degeneration of a Bioprosthetic Valve in the Tricuspid Position: Case Report and Literature Review on Transcatheter Valve-in-Valve Insertion

Transcatheter valve-in-valve implantation in failing bioprosthesis is an emerging field in cardio-vascular surgery and cardiology. If a valve plasty is not possible, a biological valve is implanted with limited durability. Due to valve degeneration repeated valve exchanges are necessary in some patients. To expand the lifetime of a bioprosthesis in the tricuspid position percutaneous transcatheter valve-in-valve implantation was introduced recently. This is a promising new catheter interventional technology. There are no published outcomes of repeat surgical, but overall early mortality after tricuspid valve replacement (TVR) was 37% in patients undergoing TVR after prior tricuspid valve (TV) repair. The off-label use of transcatheter aortic valve prostheses for tri-cuspid valve– in–valve implantation within dysfunctional surgical tricuspid valve bioprosthesis has been described in small reports but has become of interest nowadays.