ArticleJACC. Case reports2025
Salvage Redo TVIR in the Setting of a Malpositioned Transcatheter Heart Valve for Torrential TR.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
Failure of tricuspid annuloplasty for tricuspid regurgitation (TR) is not uncommon, with transcatheter approaches now used for patients with recurrent TR. A 48-year-old woman with rheumatic mitral valve disease and secondary TR (status post surgical repair) presented with recurrence of severe TR after 6 years. She underwent an attempted tricuspid transcatheter valve-in-ring (TVIR) at an outside institution that was complicated by valve migration and recurrent right-sided heart failure exacerbations. She underwent a redo TVIR procedure at our institution successfully. Both surgical and transcatheter approaches for TR are feasible, depending on patient-specific characteristics. A thorough understanding of normal tricuspid valve anatomy is essential to minimize operative complications and to perform transcatheter interventions successfully. This case supports redo TVIR as a useful alternative to surgery following initial TVIR complications when redo surgery is deemed prohibitive secondary to patient characteristics and a high risk of intraoperative mortality.
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