Christian Steinberg, MD, Danny Dvir, MD, Andrew D

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Presentation transcript:

Feasibility of tricuspid valve-in-valve replacement in a patient with transvalvular pacemaker Christian Steinberg, MD, Danny Dvir, MD, Andrew D. Krahn, MD, FHRS, John Webb, MD HeartRhythm Case Reports Volume 2, Issue 1, Pages 2-5 (January 2016) DOI: 10.1016/j.hrcr.2015.05.004 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Preprocedure transesophageal echocardiogram. A transesophageal echocardiography long-axis view of the failing bioprosthetic tricuspid valve with evidence of severe regurgitation. HeartRhythm Case Reports 2016 2, 2-5DOI: (10.1016/j.hrcr.2015.05.004) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Valve-in-valve tricuspid valve replacement. A, B: Right anterior oblique (RAO) views during valve-in-valve implantation. A 29-mm SAPIEN XT valve implanted inside a Carpentier-Edwards, porcine, 31-mm valve. C, D: Post–valve deployment cinefluoroscopy demonstrates that the RV pacing lead is now sandwiched (white arrows) between the 2 bioprosthetic valves (black arrows: old Carpentier-Edwards valve; dashed arrows: new Edwards SAPIEN XT valve); C: Left anterior oblique view (LAO). D: Right anterior oblique view (RAO). E: Postimplantation hemodynamic recordings show disappearance of the prominent right atrial v-wave and only a minimal residual diastolic transvalvular gradient of 2–3 mmHg. HeartRhythm Case Reports 2016 2, 2-5DOI: (10.1016/j.hrcr.2015.05.004) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Results of pacemaker interrogation 6 months post valve-in-valve replacement. HeartRhythm Case Reports 2016 2, 2-5DOI: (10.1016/j.hrcr.2015.05.004) Copyright © 2016 Heart Rhythm Society Terms and Conditions