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TAVR in the tricuspid domain: valve-in-valve transcatheter tricuspid valve replacement for bioprosthetic valve degeneration
  1. Jeffery Budweg1,
  2. Ryan Joseph1,
  3. Christopher Perry2,
  4. Khanjan Shah2,
  5. Calvin Choi2 and
  6. Eric Jeng3
  1. 1Internal Medicine, University of Florida Health, Gainesville, Florida, USA
  2. 2Cardiology, University of Florida Health, Gainesville, Florida, USA
  3. 3Cardiovascular Surgery, University of Florida Health, Gainesville, Florida, USA
  1. Correspondence to Dr Jeffery Budweg; jeffery.budweg{at}medicine.ufl.edu

Abstract

We report a novel use of transcatheter aortic valve replacement (TAVR) for valve-in-valve tricuspid valve replacement. A man in his 50s with prohibitive risks for surgical intervention underwent this procedure to improve severe, symptomatic tricuspid stenosis. Though current literature is limited to case reports, the Valve-in-Valve International Database (VIVID) reports similar mortality rates between surgical and transcutaneous replacement. As a novel, off-label procedure, there is limited operator experience. Nonetheless, in non-operative or high-risk patients, similar outcomes are noted in between transcatheter tricuspid valve replacement and surgical replacement. This registry sets the framework for further studies with the possibility of observing outcomes as operator experience increases, while highlighting the feasibility of the procedure.

  • Cardiovascular medicine
  • Interventional cardiology
  • Valvar diseases

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Footnotes

  • Contributors JB wrote and made vital edits to this manuscript. RJ wrote and made vital edits to this manuscript. CP aided in writing and made vital edits to this manuscript. KS aided in writing and made vital edits to this manuscript. CC aided in writing and made vital edits to this manuscript. EJ aided in writing and made vital edits to this manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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