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Valve-in-Valve Sapien Transcatheter Tricuspid Valve Replacement

Imaging findings

Chest CT reveals a balloon-expandable Sapien transcatheter valve successfully deployed within a previously placed surgical bioprosthetic tricuspid valve.

Key takeaways

Transcatheter valve-in-valve implantation using a Sapien valve can be performed off-label in the tricuspid position to treat bioprosthetic valve incompetence. This approach provides a minimally invasive option for patients with failing bioprosthetic valves who are at high risk for repeat open-heart surgery.

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