Document Detail

Early percutaneous valve failure within bioprosthetic tricuspid tissue valve replacements.
MedLine Citation:
PMID:  22915552     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
James Bentham; Shakeel Qureshi; Andreas Eicken; John Gibbs; George Ballard; John Thomson
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2013-03-14
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  82     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-09-16     Completed Date:  2014-04-18     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  428-35     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Wiley Periodicals, Inc.
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MeSH Terms
Cardiac Catheterization / adverse effects,  instrumentation*
Device Removal
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Heart Valve Prosthesis*
Heart Valve Prosthesis Implantation / adverse effects,  instrumentation*
Prosthesis Design
Prosthesis Failure*
Severity of Illness Index
Time Factors
Treatment Failure
Tricuspid Valve / physiopathology,  surgery*,  ultrasonography
Tricuspid Valve Insufficiency / diagnosis,  physiopathology,  surgery*
Young Adult

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