Valve-in-Valve in the Tricuspid Position for a Stenosed Bioprosthesis


  • Ziv Beckerman
  • Oved Cohen
  • Arthur Kerner
  • Ariel Roguin
  • Avishai Ziser
  • Yoram Agmon
  • Gil Bolotin



The strategy of transcatheter valve-in-valve implantation into failing mitral and aortic bioprosthetic valves is a documented approach. It allows one to avoid performing a high-risk repeat cardiac surgery in elderly patients with multiple comorbidities. Tricuspid valve-in-valve implantation has been documented only a few times in the literature. We report the case of a 65-year-old woman with a failing bioprosthetic tricuspid valve who had undergone 3 prior open heart operations. We attempted a transatrial transcatheter approach and successfully deployed a 29-mm Edwards Sapien balloon-expandable bioprosthesis into a severely stenotic tricuspid bioprosthesis. This case demonstrates the technical feasibility and safety of this approach.


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How to Cite

Beckerman, Z., Cohen, O., Kerner, A., Roguin, A., Ziser, A., Agmon, Y., & Bolotin, G. (2015). Valve-in-Valve in the Tricuspid Position for a Stenosed Bioprosthesis. The Heart Surgery Forum, 16(2), E96-E98.