A hybrid surgical-transcatheter approach may be a feasible minimally invasive strategy for treating severe para-right AV valvular regurgitation in patients with complex congenital anatomy.
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May support hybrid feasibility in rare congenital cases; hypothesis-generating and requires prospective validation before practice change.
Paravalvular leaks are a recognized complication of valve replacement surgery. We report a 47-year-old man with left atrial isomerism, interrupted left sided inferior caval vein with unilateral left sided superior caval vein, a common atrium, and anomalous pulmonary venous connection to the coronary sinus, who had recurrent severe para-right atrioventricular (AV) regurgitation with gross right heart failure following tricuspid valve (TCV) replacement. He underwent a hybrid surgery-transcatheter treatment strategy in the cardiac catheterization laboratory, which led to significant improvement in hemodynamics and symptoms. This to our knowledge is the first reported case of a minimally invasive approach to para-right sided AV valve regurgitation.
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Kalantre et al. (2007) studied this question.
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