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  • Title: Valve-in-valve in the tricuspid position for a stenosed bioprosthesis.
    Author: Beckerman Z, Cohen O, Agmon Y, Bolotin G.
    Journal: Heart Surg Forum; 2013 Apr; 16(2):E96-8. PubMed ID: 23625484.
    Abstract:
    The strategy of transcatheter valve-in-valve implantation into failing mitral and aortic bioprosthetic valves is a documented approach. It allows one to avoid performing a high-risk repeat cardiac surgery in elderly patients with multiple comorbidities. Tricuspid valve-in-valve implantation has been documented only a few times in the literature. We report the case of a 65-year-old woman with a failing bioprosthetic tricuspid valve who had undergone 3 prior open heart operations. We attempted a transatrial transcatheter approach and successfully deployed a 29-mm Edwards Sapien balloon-expandable bioprosthesis into a severely stenotic tricuspid bioprosthesis. This case demonstrates the technical feasibility and safety of this approach.
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