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 journalArticlepeer-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 languageEnglish (US)
Pages (from-to)913-916
Number of pages4
JournalEchocardiography
Volume37
Issue number6
DOIs
StatePublished - 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

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