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Archivos de cardiología de México

On-line version ISSN 1665-1731Print version ISSN 1405-9940


MORALES-PORTANO, Julieta D. et al. Tricuspid valve-in-valve procedure: a step-by-step guideline. Arch. Cardiol. Méx. [online]. 2019, vol.89, n.1, pp.51-54.  Epub Oct 15, 2019. ISSN 1665-1731.


The aim of this study was to present a valve-in-valve (ViV) case and a step-by-step guideline on how to perform this procedure.


A 51-year-old female with a history of rheumatic heart disease and tricuspid valve replacement presented functional class deterioration, a transesophageal echocardiogram (TEE) revealed prosthetic dysfunction due to thrombosis; therefore, a valvular replacement with a 27 mm bioprosthesis (Carpentier-Edwards Perimount) was performed without complication. 3 years after the procedure, the patients presented functional class deterioration (NYHA-III) with tricuspid dysfunction by TEE and the heart team decided to perform a transcatheter tricuspid ViV replacement.

Keywords : Valve-in-valve; Tricuspid replacement; Step-by-step guideline; Mexico.

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