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CASE REPORT
Percutaneous valve in valve in the tricuspid position in a patient with Tetralogy of Fallot
  1. Abhinay Challa1,
  2. Ryan Markham2,
  3. Darren Walters2
  1. 1 Department of Cardiology, Prince Charles Hospital, Chermside, Queensland, Australia
  2. 2 The Prince Charles Hospital, Brisbane, Queensland, Australia
  1. Correspondence to Dr Abhinay Challa, abhinay.challa{at}hotmail.com

Summary

Here, we describe a case of a successful percutaneous insertion of a transcatheter 29 mm Edwards Sapien XT valve into a tricuspid valve in a patient with repaired tetralogy of fallot.

Similar procedures have been performed with the Edwards Sapien valve and Melody valves; however, this is the first case described in the literature of an Edwards Sapien valve used in a patient with Tetralogy of Fallot.

With procedural safety being demonstrated, this case illustrates an important alternative treatment option for patients with congenital heart disease. Although long-term data is required to compare its efficacy with surgically replaced valves, percutaneous procedures can serve as a delay to surgical valve replacement which over a patients’ lifetime with congenital heart disease, can minimise the amount of invasive surgeries and potential complications.

  • heart failure
  • interventional cardiology
  • valvar diseases

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Footnotes

  • Contributors AC, the first author has written the literature review and case report. RM and DW elaborate on specifics of procedure and reviewed case report with corrections on valvular information and procedural events.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.