Abstract
Tricuspid regurgitation in the context of hypoplastic left heart syndrome (HLHS) carries a significant burden of both mortality and morbidity. We report successful hybrid trans-atrial implantation of an Edwards Sapien XT valve into a dysfunctional bioprosthetic valve in the tricuspid position of a 9-year-old patient with HLHS. There was an immediate fall in the Fontan pressures combined with significant clinical improvement and the valve continues to function well nearly 3 years post implant. To the best of our knowledge, this is the first described implantation of a transcatheter valve in this specific position and anatomy.
Keywords:
congenital heart disease; transcatheter valve; tricuspid regurgitation.
© 2018 Wiley Periodicals, Inc.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Bioprosthesis*
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Cardiac Catheterization / adverse effects
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Cardiac Catheterization / instrumentation*
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Child
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Heart Valve Prosthesis Implantation / adverse effects
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Heart Valve Prosthesis Implantation / instrumentation*
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Heart Valve Prosthesis*
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Humans
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Hypoplastic Left Heart Syndrome / diagnostic imaging
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Hypoplastic Left Heart Syndrome / physiopathology
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Hypoplastic Left Heart Syndrome / surgery*
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Male
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Norwood Procedures / adverse effects*
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Palliative Care
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Prosthesis Design
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Prosthesis Failure
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Recovery of Function
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Time Factors
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Treatment Outcome
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Tricuspid Valve / diagnostic imaging
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Tricuspid Valve / physiopathology
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Tricuspid Valve / surgery*
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Tricuspid Valve Insufficiency / diagnostic imaging
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Tricuspid Valve Insufficiency / etiology
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Tricuspid Valve Insufficiency / physiopathology
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Tricuspid Valve Insufficiency / surgery*