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Percutaneous tricuspid valve implantation: an alternative in critically ill patients

Alvaro Lafuente-Romero1, Enrique José Balbacid Domingo1, Cesar Abelleira Pardeiro1

  • 1Servicio de Cardiología Pediátrica y Cardiopatías Congénitas, Hospital Universitario La Paz, Madrid, Spain.

Cardiology in the Young
|February 4, 2022
PubMed

Insights

Percutaneous tricuspid replacement offers a new treatment for complex congenital heart disease patients with tricuspid valve issues. This minimally invasive approach provides a viable option for those at high surgical risk.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Tricuspid valvulopathy is increasingly recognized, particularly with advancements in percutaneous interventions.
  • Congenital heart malformations (CHD) can lead to primary or secondary tricuspid valve dysfunction.
  • High surgical risk often precludes traditional interventions for these patients.

Purpose of the Study:

  • To report the successful percutaneous tricuspid replacement in two adult patients with complex congenital heart malformations.
  • To highlight the feasibility of minimally invasive tricuspid valve intervention in challenging clinical scenarios.

Main Methods:

  • Case series presentation of two adult patients.
  • Focus on percutaneous tricuspid valve replacement procedures.
  • Management of complex congenital heart disease with borderline clinical status.

Main Results:

  • Successful percutaneous tricuspid replacement was achieved in both cases.
  • Patients were in borderline clinical situations, indicating a high-risk cohort.
  • Demonstrated feasibility of the percutaneous approach for severe tricuspid valvulopathy in complex CHD.

Conclusions:

  • Percutaneous tricuspid replacement is a safe and effective option for select adult patients with complex CHD and severe tricuspid valvulopathy.
  • This approach expands treatment possibilities for patients previously deemed high surgical risk.
  • Further research is warranted to establish long-term outcomes.

Keywords:
CHDpercutaneous interventionstranshepatictricuspidvalvulopathy

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