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Tricuspid valve-in-valve procedure: a step-by-step guideline
Julieta D Morales-Portano1, Roberto Muratalla-González1, José L Zaldivar-Fujigaki2
1Department of Cardiology, National Medical Center, 20 de Noviembre ISSSTE, Mexico City, Mexico.
Objective:
The aim of this study was to present a valve-in-valve (ViV) case and a step-by-step guideline on how to perform this procedure.
Methods:
A 51-year-old female with a history of rheumatic heart disease and tricuspid valve replacement presented functional class deterioration, a transesophageal echocardiogram (TEE) revealed prosthetic dysfunction due to thrombosis; therefore, a valvular replacement with a 27 mm bioprosthesis (Carpentier-Edwards Perimount) was performed without complication. 3 years after the procedure, the patients presented functional class deterioration (NYHA-III) with tricuspid dysfunction by TEE and the heart team decided to perform a transcatheter tricuspid ViV replacement.
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