Abstract

Percutaneous balloon valvuloplasty is rarely used in stenotic bioprosthetic valves, especially in the tricuspid position. A 72-year-old woman presented with right heart failure and was found to have a stenosed tricuspid bioprosthetic valve with thickened and fused cusps with an estimated valve area of 1 cm2 (Figure 1; Movie). She had undergone 2 previous open heart surgeries 19 and 20 years previously: first aortic valve replacement (Bjork-Shiley prosthesis, Shiley, Inc, …

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