Ranocchi Federico, Nicolò Francesca, Russo Marco, Lio Antonio, Cammardella Antonio, Bergonzini Marcello, Saitto Guglielmo, Musumeci Francesco
Department of Cardiac Surgery and Transplantation, S. Camillo Hospital, Rome, Italy.
J Card Surg. 2020 Jun;35(6):1371-1374. doi: 10.1111/jocs.14572. Epub 2020 Apr 25.
Surgical management of patients affected by structural valve deterioration of bioprostheses in tricuspid valve position represents a challenge. Furthermore, transcatheter valve-in-valve implantation (TVIVI) recently emerged as an interesting option in high-risk surgical patients. When surgery is performed, replacement of the dysfunctional tricuspid bioprosthesis could be a difficult procedure due to the risk of heart rupture during the prosthesis removal. Herein we report the case of a 52-year-old female patient in which a transcatheter TVIVI was successfully performed under direct vision as a bailout strategy due to the impossibility of bioprosthesis removal.
三尖瓣位生物瓣膜发生结构性瓣膜退变患者的外科治疗是一项挑战。此外，经导管瓣中瓣植入术（TVIVI）最近成为高危手术患者的一个有吸引力的选择。进行手术时，由于移除假体期间存在心脏破裂风险，置换功能失调的三尖瓣生物瓣膜可能是一个困难的手术。在此，我们报告一例52岁女性患者的病例，由于无法移除生物瓣膜，作为补救策略在直视下成功进行了经导管TVIVI。
