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[Percutaneous tricuspid valvuloplasty]

A Alberti1, A Actis Dato, P Angelino

  • 1Istituzione Italiana di Cardiochirurgia, Torino.

Giornale Italiano Di Cardiologia
|November 1, 1994
PubMed
Summary
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This study shows that percutaneous balloon valvuloplasty is a simple and effective treatment for severe tricuspid stenosis, improving patient hemodynamics and clinical condition.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Rheumatic heart disease can necessitate complex valvular interventions.
  • Mechanical mitral-aortic valve prostheses and tricuspid commissurotomy were previously performed on the patient.
  • Severe tricuspid stenosis and mild to moderate regurgitation were diagnosed via Doppler echocardiography.

Observation:

  • A 44-year-old woman presented with severe congestive heart failure despite functioning mechanical mitral-aortic prostheses.
  • High surgical risk precluded traditional re-operation.
  • Percutaneous balloon valvuloplasty of the tricuspid stenosis was chosen as an alternative treatment.

Findings:

  • The procedure utilized a percutaneous femoral approach with a TRIAD-TWIN AT catheter.

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  • Post-procedure, the mean trans-tricuspid gradient significantly reduced from 8.6 mm Hg to 4 mm Hg.
  • Complete disappearance of the telediastolic gradient was achieved, with unchanged valvular regurgitation.

    • Implications:

    • Percutaneous tricuspid valvuloplasty is a viable and effective treatment option for severe tricuspid stenosis.
    • This minimally invasive approach offers rapid hemodynamic improvement and sustained clinical benefit.
    • The percutaneous femoral approach represents a simpler treatment strategy for high-risk patients.