One-Stage Transcatheter Aortic Valve Implantation and Transcatheter Edge-to-Edge Tricuspid Valve Repair for Double Valve Dysfunction in a High-Risk Patient

Besart Cuko; Massimo Baudo; Julien Ternacle; Lionel Leroux; Thomas Modine

doi:10.7759/cureus.45648

One-Stage Transcatheter Aortic Valve Implantation and Transcatheter Edge-to-Edge Tricuspid Valve Repair for Double Valve Dysfunction in a High-Risk Patient

Cureus. 2023 Sep 20;15(9):e45648. doi: 10.7759/cureus.45648. eCollection 2023 Sep.

Authors

Besart Cuko¹, Massimo Baudo², Julien Ternacle³, Lionel Leroux¹, Thomas Modine¹

Affiliations

¹ Department of Cardiology and Cardiovascular Surgery, Hopital Cardiologique de Haut-Leveque, Bordeaux, FRA.
² Cardiac Surgery, ASST Spedali Civili di Brescia, University of Brescia, Brescia, ITA.
³ Department of Cardiology and Cardiovascular Surgery, Hopital Cardiologique de Haut-Leveque, Bordeaux University Hospital, Bordeaux, FRA.

Abstract

A 75-year-old female patient was referred to our institution for severe symptomatic low-flow low-gradient aortic valve stenosis and tricuspid valve regurgitation (TR) associated with heart failure. After multidisciplinary discussion, the patient was scheduled for one-stage totally percutaneous treatment of her valve lesions by transcatheter aortic valve implantation (TAVI) and transcatheter edge-to-edge tricuspid valve repair (TEER) through transfemoral access. The patient had an uneventful hospital stay and was discharged home on the third postoperative day. During the following 24 months, the patient did well with regression of her heart failure signs and symptoms.

Keywords: aortic valve disease; aortic valve stenosis; one stage; transcatheter aortic valve implantation (tavi); tricuspid edge-to-edge valve repair; tricuspid valve regurgitation; tricuspid valve repair.

Publication types

Case Reports