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Updated: Feb 22, 2026

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Transcatheter Tricuspid Valve-In-Ring and Aortic Valve-In-Valve Implantation
Daniel Reichart1, Niklas Schofer2, Florian Deuschl2
1Department of Cardiovascular Surgery, Universitätsklinikum Hamburg-Eppendorf, Universitäres Herzzentrum Hamburg GmbH, Hamburg, Germany.
Abstract:
Background Transcatheter heart valve (THV) therapies have shown to be an alternative to surgical valve replacement, especially in high-risk patients requiring redo surgery. However, reports of transcatheter-based interventions in tricuspid valve position are scarce. Case Description Here, we report a case of successful concomitant transcatheter aortic valve-in-valve (ViV) and tricuspid valve-in-ring (ViR) procedures using a 23-mm CoreValve Evolut R THV (Medtronic, Inc., Minneapolis, Minnesota, United States) in aortic position and a 29-mm SAPIEN3 (Edwards Lifesciences, Inc., Irvine, California, United States) THV in tricuspid position. Conclusion This case demonstrates feasibility of concomitant transcatheter aortic ViV and tricuspid ViR procedures.
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