Related Experiment Video
Updated: May 5, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Treatment of Mitral and Tricuspid Atrioventricular Valve Disease by Double Transcatheter Valve Replacement
Cyril David Ferro1, Caroline Chong-Nguyen1, Daryoush Samim1
1Department of Cardiology, University Hospital Berne, University of Berne, Switzerland.
Topic:
Double transcatheter replacement of the atrioventricular valves.
Images:
Transesophageal images, fluoroscopic images, images simulated with Laralab.
Case Summary:
This case report illustrates a novel staged transcatheter approach for managing concomitant mitral and tricuspid valve disease in a high-risk surgical patient. A 79-year-old man with severe mitral regurgitation and secondary tricuspid regurgitation underwent transapical mitral valve implantation using the Tendyne device, followed by transcatheter tricuspid valve replacement with the MonarQ prosthesis. Both procedures demonstrated excellent valve function and symptomatic improvement at follow-up. This case highlights the potential of minimally invasive staged interventions for complex valve disease, emphasizing the need for randomized trials to determine the optimal timing and combination of transcatheter strategies.
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