Percutaneous valve in valve in the tricuspid position in a patient with Tetralogy of Fallot

BMJ Case Rep. 2017 Aug 2:2017:bcr2017221104. doi: 10.1136/bcr-2017-221104.

Abstract

Here, we describe a case of a successful percutaneous insertion of a transcatheter 29 mm Edwards Sapien XT valve into a tricuspid valve in a patient with repaired tetralogy of fallot.Similar procedures have been performed with the Edwards Sapien valve and Melody valves; however, this is the first case described in the literature of an Edwards Sapien valve used in a patient with Tetralogy of Fallot.With procedural safety being demonstrated, this case illustrates an important alternative treatment option for patients with congenital heart disease. Although long-term data is required to compare its efficacy with surgically replaced valves, percutaneous procedures can serve as a delay to surgical valve replacement which over a patients' lifetime with congenital heart disease, can minimise the amount of invasive surgeries and potential complications.

Keywords: heart failure; interventional cardiology; valvar diseases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon
  • Female
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Tetralogy of Fallot / surgery*
  • Tricuspid Valve / surgery*