Key result
Transcatheter tricuspid valve-in-valve implants may have a significant role in treating tricuspid valve pathology, particularly for patients requiring redo surgery where surgical outcomes are poor.
This review highlights the potential role and technical aspects of transcatheter tricuspid valve-in-valve implants, particularly as an alternative to high-risk redo surgical valve replacement.
Answers are grounded in this paper and cite their sources.
May warrant consideration in high-risk redo cases; leaves open the need for prospective validation.
Despite the explosion in the field of transcatheter aortic valve implantations over the last 10 years, only a handful of transcatheter tricuspid valve-in-valve implants have been described to date. This review describes the basic anatomy and pathology of the tricuspid valve. Current treatment remains surgical repair or replacement and the shortcomings is discussed. Results of surgical replacement are varied but generally not very good. Redo surgery has even more problems and this is the field where transcatheter valve-in-valve implants may have its biggest role. Technical aspects of the procedure is discussed, including the choice of valve, the approach and positioning of the device.
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Hellmuth Weich (2012) conducted a review in Tricuspid valve pathology. Transcatheter tricuspid valve-in-valve implants was evaluated. Transcatheter tricuspid valve-in-valve implants may have a significant role in treating tricuspid valve pathology, particularly for patients requiring redo surgery where surgical outcomes are poor.
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