Case report: Transcatheter tricuspid valve-in-valve implantation using novel balloon-expandable aortic valve with 1 year follow-up
Mussayev A. Alimbayev S. Tanaliev N. Kuanyshbek A. Marat A. Lesbekov T. Raissov Y. Sadykova A. Kamila A.K. Mukarov M. Pya Y.
2023Frontiers Media SA
Frontiers in Cardiovascular Medicine
2023#10
Generally, the dysfunction or failure of bioprosthetic heart valves (BHVs) is managed by replacement surgery. In the case of tricuspid valve dysfunction, re-do surgery is rarely attempted because of the critically high risk of developing pulmonary hypertension, pulmonary embolism, and intraoperative mortality. Hence, transcatheter tricuspid repair and replacement procedures are preferred. More recently, transcatheter valve-in-valve (ViV) treatments have gained importance because of their less invasiveness, especially for patients with prior surgeries. Encouraging evidence of the safety and effectiveness of a novel balloon-expandable (BE) transcatheter heart valve (THV)—the Myval THV—has been reported for ViV procedures. Here, we present a case-series of 5 patients, in whom tricuspid ViV procedure was performed using BE Myval THV, implanted supra-annularly by anchoring onto the deteriorated BHV. This case-series details the procedural steps to prevent in-hospital adverse events and early (30-day) mortality and the challenges during tricuspid ViV interventions. 2023 Mussayev, Alimbayev, Tanaliev, Kuanyshbek, Aripov, Lesbekov, Raissov, Sadykova, Kamila, Mukarov and Pya.
balloon expandable heart valves , bioprosthetic heart valve , Myval transcatheter heart valve , tricuspid valve , valve-in-valve procedure , valvular heart disease
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Head of Cathlab, National Research Cardiac Surgery Center, Astana, Kazakhstan
Head of Structural Heart Diseases, National Research Cardiac Surgery Center, Astana, Kazakhstan
Department of Interventional Cardiology, National Research Cardiac Surgery Center, Astana, Kazakhstan
Department of Anesthesiology, Resuscitation and Intensive Care, National Research Cardiac Surgery Center, Astana, Kazakhstan
Head of Department of Interventional Cardiology, National Research Cardiac Surgery Center, Astana, Kazakhstan
Head of the Department of Cardiac Surgery, National Research Cardiac Surgery Center, Astana, Kazakhstan
Resident of Interventional Cardiology, National Research Cardiac Surgery Center, Astana, Kazakhstan
Chief Nurse of Cathlab, National Research Cardiac Surgery Center, Astana, Kazakhstan
Clinical Cardiologist, Central Hospital with a Polyclinic of the Ministry of Internal Affairs, Astana, Kazakhstan
Head of the Department of Cardiology, National Research Cardiac Surgery Center, Astana, Kazakhstan
Department of Cardiac Surgery, National Research Cardiac Surgery Center, Astana, Kazakhstan
Head of Cathlab
Head of Structural Heart Diseases
Department of Interventional Cardiology
Department of Anesthesiology
Head of Department of Interventional Cardiology
Head of the Department of Cardiac Surgery
Resident of Interventional Cardiology
Chief Nurse of Cathlab
Clinical Cardiologist
Head of the Department of Cardiology
Department of Cardiac Surgery
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