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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.113.001033 | DOI Listing |
Singapore Med J
October 2024
Parkway Cancer Centre, Mount Elizabeth Hospital, Singapore.
Rev Med Chil
March 2024
Department of Cardiology, Instituto Nacional del Tórax, Santiago, Chile.
Tricuspid regurgitation (TR) is the most frequent valvular complication after heart transplantation with different clinical sequelae. In its most severe form, it can cause right heart failure with a poor long-term prognosis. Its management is complex, both medical, surgical, and percutaneous.
View Article and Find Full Text PDFJ Cardiovasc Electrophysiol
May 2024
Department of Cardiology, Wellington Regional Hospital, Te Whatu Ora Capital and Coast, Newtown, Wellington, New Zealand.
Introduction: Tricuspid regurgitation is associated with significant morbidity and mortality, and occurs at a higher rate in patients with cardiovascular implantable electronic devices. Percutaneous strategies for managing tricuspid regurgitation are evolving, including the development of bicaval valve implantation which has been successfully used in patients with pacing leads.
Methods And Results: We present the first documented case of lead failure following TricValve® implantation, a dedicated self-expanding system for bicaval valve implantation, and the first successful lead revision procedure in this setting.
Transplant Proc
December 2023
Cardiac Surgery Department, Heart Area, Virgen del Rocío University Hospital, Seville, Spain.
The bicaval transcatheter prosthesis (TricValve) allows the treatment of cava reflux in patients with severe tricuspid regurgitation and high surgical risk. It consists of the implantation of 2 self-expanding valves in both vena cava without directly approaching the native tricuspid valve. Heart transplantation in this setting may require some modifications compared with the conventional bicaval technique.
View Article and Find Full Text PDFEur Heart J Case Rep
August 2023
Cardiology Service, Central Lisbon Hospital and University Centre, Lisbon, Portugal.
Background: Heterotopic bicaval stenting or caval valve implantation (CAVI) either with non-dedicated balloon-expandable Sapien™ valves (Edwards Lifesciences) or with dedicated TricValve™ (Products + Features) has emerged as a safe and effective percutaneous treatment for high-risk patients with severe tricuspid regurgitation (TR). One technical difficulty of CAVI is the lack of native calcified structures to anchor the device, which may lead to paravalvular leak or migration.
Cases Summary: We describe two patients with severe TR and high surgical risk who underwent CAVI procedures, both of them complicated with device migration to the right atrium (one inferior vena cava device and one superior vena cava device).
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