Percutaneous pulmonary valve implantation (PPVI) with SAPIEN valves offers promising results, but it remains technically challenging1,2. The valve is introduced into a short sheath and advanced uncovered to the right ventricular outflow tract (RVOT). Tricuspid valve injury has been reported during this manoeuvre3. We describe a protective delivery method of the SAPIEN 3 valve (S3; Edwards Lifesciences, Irvine, CA, USA) in the pulmonary position.
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