The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Transfemoral transcatheter tricuspid valve replacement after failed leaflet repair

DOI: 10.4244/EIJ-D-21-00614

1. Medizinische Klinik und Poliklinik I, LMU Klinikum, Munich, Germany; 2. OHSU Knight Cardiovascular Institute Cardiology Clinic, Portland, OR, USA

Figure 1. Transfemoral tricuspid valve replacement after failed leaflet repair in two patients. A) First patient. Transoesophageal echocardiography (TEE; right ventricular [RV] inflow/outflow view) showing tricuspid single leaflet device attachment (SLDA) on the posterior leaflet of the PASCAL device (green arrow) leading to torrential tricuspid regurgitation (TR). B) TEE (transgastric en face view) during EVOQUE implantation (orange arrow marking the delivery catheter) showing the anchors (yellow asterisks) capturing the PASCAL device (green arrow). C) Fluoroscopy at the end of the procedure with the PASCAL (green arrow) and EVOQUE (white dotted line) (left anterior oblique [LAO] 40°/caudal 15°). D) ...

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