Balloon occlusion of the inferior cava vein to prevent valve prolapse for transjugular tricuspid valve-in-valve

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-06-01 DOI:10.1016/j.crmic.2024.100031

Juan Ignacio Damonte , Ignacio Miguel Seropian , Jose Gaspar Chas , Mariano Falconi , Marcio José Montenegro da Costa , Carla Romina Agatiello

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Abstract

Transcatheter valve-in-valve implantation has emerged as a viable alternative for treating degenerated bioprosthetic tricuspid valves. However, patients with Ebstein's anomaly, characterized by an enlarged right atrium, pose challenges due to difficulties in correct positioning and deployment of transcatheter valves, stemming from inadequate support and coaxial alignment. In our presented case report, we describe a tricuspid valve-in-valve procedure performed on a patient with Ebstein's anomaly and a significantly enlarged right atrium. A novel technique was employed to facilitate the advancement of the transcatheter heart valve within the degenerated bioprosthesis, ultimately ensuring the success of the intervention.

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球囊闭塞下腔静脉以防止经颈静脉三尖瓣置换术中的瓣膜脱垂

经导管瓣中瓣植入术已成为治疗退化的生物人工三尖瓣的可行替代方法。然而，以右心房增大为特征的埃布斯坦氏畸形患者因支撑力和同轴度不足而难以正确定位和部署经导管瓣膜，这给手术带来了挑战。在我们提交的病例报告中，我们描述了对一名患有埃布斯坦畸形和右心房明显增大的患者实施的三尖瓣瓣中瓣手术。手术中采用了一种新技术，促进了经导管心脏瓣膜在退化的生物假体内的推进，最终确保了介入手术的成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cardiovascular Revascularization Medicine: Interesting Cases

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