Intracardiac Echocardiography via Trans-Jugular Approach for Transcatheter Tricuspid Valve Repair: In Vitro Study of Device Movement for Leaflet Detection

Shingo Kuwata, et al.

Objective: Severe tricuspid regurgitation (TR) is linked to poor prognosis, and transcatheter edge-to-edge repair (Tricuspid-TEER) has become a promising therapeutic option. However, intraprocedural imaging remains challenging. While transesophageal echocardiography (TEE) is the standard, it may not always provide optimal visualization and can cause esophageal injury.

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Hemolytic Anemia Caused by Paravalvular Regurgitation after Transcatheter Aortic Valve Implantation That Required Aortic Valve Replacement: A Case Report

Hidetaka Kariya, et al.

Objective: We report a rare case of severe hemolytic anemia caused by residual paravalvular leak (PVL) following transcatheter aortic valve implantation (TAVI), which ultimately required surgical aortic valve replacement (AVR).

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Transcatheter Valve-in-Valve Pulmonary Valve Implantation Using SAPIEN 3 for a Young-Adult Patient with Severe Heart Failure: A Case Report

Yuriko Shima, et al.

Objective: Transcatheter valve-in-valve pulmonary valve implantation (ViV-TPVI) with SAPIEN 3 (Edwards Lifesciences, Irvine, CA, USA) is effective for treating insufficient prosthetic valves in right ventricular outflow tract diseases. SAPIEN 3 is primarily used to replace failed aortic valves; therefore, there is limited published data on the outcomes of its use for ViV-TPVI. In patients with severe heart failure, every procedure can lead to collapse during TPVI. This case report aims to describe the procedural strategy, perioperative management, and short-term outcomes of ViV-TPVI with SAPIEN 3 in a patient with biventricular heart failure, where careful preparation and prerisk assessment were critical to procedural success.

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