Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure

Andrew C. Peters; Erin Unger; Fei Fei Gong; Nadia El Hangouche; Jyothy J. Puthumana; James D. Thomas; Melissa Fusari; Charles J. Davidson; Mark J. Ricciardi; Duc Pham; James D. Flaherty; Akhil Narang

doi:10.1111/echo.14743

Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure

Andrew C. Peters, Erin Unger, Fei Fei Gong, Nadia El Hangouche, Jyothy J. Puthumana, James D. Thomas, Melissa Fusari, Charles J. Davidson, Mark J. Ricciardi, Duc Pham, James D. Flaherty, Akhil Narang^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Tricuspid valve (TV) degeneration after surgical repair with an annuloplasty ring is problematic as redo operation carries high mortality. This can be addressed with transcatheter therapies to implant a valve within in prior ring (tricuspid valve-in-ring). When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve-in-ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Multimodality imaging including cardiac computed tomography and three-dimensional (3D) transesophageal echocardiography (TEE) are important for successful TViR implant. We report a case of tricuspid regurgitation after tricuspid repair with an incomplete annuloplasty ring and subsequent paravalvular leak closure.

Original language	English (US)
Pages (from-to)	913-916
Number of pages	4
Journal	Echocardiography
Volume	37
Issue number	6
DOIs	https://doi.org/10.1111/echo.14743
State	Published - Jun 1 2020

Keywords

Tricuspid valve-in-ring
interventional echo
multimodality imaging
paravalvular leak
prosthetic valve dysfunction
valvular heart disease

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.1111/echo.14743

Cite this

Peters, A. C., Unger, E., Gong, F. F., El Hangouche, N., Puthumana, J. J., Thomas, J. D., Fusari, M., Davidson, C. J., Ricciardi, M. J., Pham, D., Flaherty, J. D., & Narang, A. (2020). Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure. Echocardiography, 37(6), 913-916. https://doi.org/10.1111/echo.14743

@article{d816f996439c435f82a2742b324ef406,

title = "Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure",

abstract = "Tricuspid valve (TV) degeneration after surgical repair with an annuloplasty ring is problematic as redo operation carries high mortality. This can be addressed with transcatheter therapies to implant a valve within in prior ring (tricuspid valve-in-ring). When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve-in-ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Multimodality imaging including cardiac computed tomography and three-dimensional (3D) transesophageal echocardiography (TEE) are important for successful TViR implant. We report a case of tricuspid regurgitation after tricuspid repair with an incomplete annuloplasty ring and subsequent paravalvular leak closure.",

keywords = "Tricuspid valve-in-ring, interventional echo, multimodality imaging, paravalvular leak, prosthetic valve dysfunction, valvular heart disease",

author = "Peters, {Andrew C.} and Erin Unger and Gong, {Fei Fei} and {El Hangouche}, Nadia and Puthumana, {Jyothy J.} and Thomas, {James D.} and Melissa Fusari and Davidson, {Charles J.} and Ricciardi, {Mark J.} and Duc Pham and Flaherty, {James D.} and Akhil Narang",

note = "Publisher Copyright: {\textcopyright} 2020 Wiley Periodicals LLC",

year = "2020",

month = jun,

day = "1",

doi = "10.1111/echo.14743",

language = "English (US)",

volume = "37",

pages = "913--916",

journal = "Echocardiography",

issn = "0742-2822",

publisher = "Wiley-Blackwell",

number = "6",

}

Peters, AC, Unger, E, Gong, FF, El Hangouche, N, Puthumana, JJ , Thomas, JD, Fusari, M, Davidson, CJ, Ricciardi, MJ, Pham, D , Flaherty, JD & Narang, A 2020, 'Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure', Echocardiography, vol. 37, no. 6, pp. 913-916. https://doi.org/10.1111/echo.14743

TY - JOUR

T1 - Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure

AU - Peters, Andrew C.

AU - Unger, Erin

AU - Gong, Fei Fei

AU - El Hangouche, Nadia

AU - Puthumana, Jyothy J.

AU - Thomas, James D.

AU - Fusari, Melissa

AU - Davidson, Charles J.

AU - Ricciardi, Mark J.

AU - Pham, Duc

AU - Flaherty, James D.

AU - Narang, Akhil

PY - 2020/6/1

Y1 - 2020/6/1

N2 - Tricuspid valve (TV) degeneration after surgical repair with an annuloplasty ring is problematic as redo operation carries high mortality. This can be addressed with transcatheter therapies to implant a valve within in prior ring (tricuspid valve-in-ring). When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve-in-ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Multimodality imaging including cardiac computed tomography and three-dimensional (3D) transesophageal echocardiography (TEE) are important for successful TViR implant. We report a case of tricuspid regurgitation after tricuspid repair with an incomplete annuloplasty ring and subsequent paravalvular leak closure.

AB - Tricuspid valve (TV) degeneration after surgical repair with an annuloplasty ring is problematic as redo operation carries high mortality. This can be addressed with transcatheter therapies to implant a valve within in prior ring (tricuspid valve-in-ring). When an incomplete ring is present, paravalvular leak is commonly encountered after tricuspid valve-in-ring (TViR) implant; however, this can be addressed with paravalvular leak closure devices. Multimodality imaging including cardiac computed tomography and three-dimensional (3D) transesophageal echocardiography (TEE) are important for successful TViR implant. We report a case of tricuspid regurgitation after tricuspid repair with an incomplete annuloplasty ring and subsequent paravalvular leak closure.

KW - Tricuspid valve-in-ring

KW - interventional echo

KW - multimodality imaging

KW - paravalvular leak

KW - prosthetic valve dysfunction

KW - valvular heart disease

UR - http://www.scopus.com/inward/record.url?scp=85085596330&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85085596330&partnerID=8YFLogxK

U2 - 10.1111/echo.14743

DO - 10.1111/echo.14743

M3 - Article

C2 - 32472553

AN - SCOPUS:85085596330

SN - 0742-2822

VL - 37

SP - 913

EP - 916

JO - Echocardiography

JF - Echocardiography

IS - 6

ER -

Multimodality imaging to guide transcatheter treatment of severe degenerative tricuspid regurgitation with tricuspid valve-in-ring implantation and paravalvular leak closure

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this