Key result
Transatrial transcatheter tricuspid valve-in-valve replacement using a Sapien balloon-expandable valve is reported in first-in-man cases.
This case series demonstrates the initial feasibility and technical considerations of a transatrial transcatheter tricuspid valve-in-valve approach for reoperative tricuspid valve replacement.
Feasible in three initial cases; hypothesis-generating and should not yet change practice.
A novel approach to reoperative tricuspid valve replacement using the transcatheter valve-in-valve concept is studied. Three consecutive transapica transcatheter tricuspid Sapien balloon-expandable valve-in-valve cases, including the first-in-man case, are described. The technical lessons learnt and the clinical outcomes are elaborated.
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Cheung et al. (2012) studied this question. Transatrial transcatheter tricuspid valve-in-valve replacement using a Sapien balloon-expandable valve was described in three initial cases, including the first-in-man procedure.
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