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Updated: Jun 26, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Novel Valve-in-Valve Transcatheter Systemic Tricuspid Valve Replacement in Congenitally Corrected Transposition of
Aamer Naofal1, Riyad Yazan Kherallah2, Wilson W Lam3
1Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.
Abstract:
A 41-year-old woman with history of situs inversus totalis, dextrocardia, congenitally corrected transposition of the great arteries, and systemic tricuspid valve replacement presented with worsening of her baseline orthopnea and exertional dyspnea caused by stenosis of the tricuspid valve. Given her high risk for surgery, valve-in-valve transcatheter tricuspid valve replacement was pursued and performed successfully, leading to resolution of her symptoms. Previous valve-in-valve tricuspid interventions are rare. This case is notable as the first systemic atrioventricular valve-in-valve replacement in a patient with dextrocardia through a septal approach.
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