Abstract

A 40-year-old female with Ebstein’s anomaly and three previous surgeries of the tricuspid valve (TV) presented with a degenerated 33 mm Sorin-Pericarbon MoreTM bioprosthesis (Sorin Biomedica, Saluggia, Italy) in TV position, with severe regurgitation, significant stenosis and worsening right ventricular function (Figure 1A1–A3; Movie 1A). After heart team discussion, a transfemoral transcatheter tricuspid valve-in-valve implantation (TTVI) was performed under local anaesthesia and guided by fluoroscopy and transthoracic echocardiography (TTE).

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