Early percutaneous valve failure within bioprosthetic tricuspid tissue valve replacements. Issue 3 (14th March 2013)

• Record Type: Journal Article
• Authors: Bentham, James; Qureshi, Shakeel; Eicken, Andreas; Gibbs, John; Ballard, George; Thomson, John
• Is Part Of: Catheterization and cardiovascular interventions. Volume 82:Issue 3(2013:Sep. 01)
• Page Start: 428
• Page End: 435
• Publication Date: 2013-03-14
• Subjects: Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.24622
• Languages: English
• ISSNs: 1522-1946

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="ccd24622-sec-0001" sec-type="section"> <title>Objective</title> <p>To describe the cases of percutaneous valve failure following implantation of the Medtronic Melody™ and the Edwards Sapien™ valve in the tricuspid position. Background: There have been recent reports of the use of percutaneously delivered valves to manage failing bioprosthetic tricuspid valves. Total patient numbers remain small and follow‐up times are limited.</p> </sec> <sec id="ccd24622-sec-0002" sec-type="section"> <title>Methods</title> <p>We describe four procedures in three patients from two centers where implantation of percutaneous valves within the scaffold of a bioprosthetic tricuspid valve was technically successful but there was early valve failure.</p> </sec> <sec id="ccd24622-sec-0003" sec-type="section"> <title>Results</title> <p>In all cases, immediate results suggested excellent valve function; however, valve failure occurred early in three and later in one. Two patients elected for valve explantation and surgical placement of a further tricuspid valve. The third patient underwent a second percutaneous valve‐in‐valve procedure though this valve is also showing early signs of failure.</p> </sec> <sec id="ccd24622-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Transcatheter placement of percutaneous valves in the tricuspid position is technically a relatively straightforward procedure but early valve failure raises some concerns about the viability of the valve in this position, at least in some patients. © 2013 Wiley Periodicals, Inc.</p> </sec> </abstract>